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UNDERGROUN&TANK PROGRAM OFFICIAL INSP TION REPORT <br />SAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAMESTOCKTON,CA 95205 COUNTY # <br />{� �(IV PHONE NO. 468-3423 22 <br />SITE NAME: INSPECTION DATE: <br />APPROVED RESPONSE PLAN 25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br />SAMPLING 29 30 <br />APPROVED TANK REPAIRS 31 32 <br />PIPING 48 149 <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SY TEM STATUS (MUST MA ) �;(� FOLLOWS: C.��c&4L"= dN <br />d 1AW616".5 ccwrea <br />57 58 <br />INO <br />VIOL. ❑ VIOLMAJOR . R ❑ VOL 59 <br />OFFICE: <br />I HUT -3 <br />INNSP:,,., RECEIVED BY: <br />clPIs yu ' <br />TITLE: PHONE: BECK: <br />ORIGINAL <br />5/88 <br />SITE ADDRESS: <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO <br />TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />NUMBER <br />NUMBER <br />TYPE OF INSPECTION SITE COMPU <br />R # <br />PER # <br />PER # <br />PER # <br />PER # <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />TS <br />TANK CONTENAN <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />., <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />17 <br />18 <br />ACCESS CASING SECURED <br />PIPING <br />19 <br />20 <br />21 <br />22 <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN 25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br />SAMPLING 29 30 <br />APPROVED TANK REPAIRS 31 32 <br />PIPING 48 149 <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SY TEM STATUS (MUST MA ) �;(� FOLLOWS: C.��c&4L"= dN <br />d 1AW616".5 ccwrea <br />57 58 <br />INO <br />VIOL. ❑ VIOLMAJOR . R ❑ VOL 59 <br />OFFICE: <br />I HUT -3 <br />INNSP:,,., RECEIVED BY: <br />clPIs yu ' <br />TITLE: PHONE: BECK: <br />ORIGINAL <br />5/88 <br />