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UNDERGROU NK PROGRAM OFFICIAL INSP ON REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY <br />PHONE NO. 468-3423 <br />SITE NAME: /� S���� INSPECTION DATE:LZ t 41� <br />17 <br />18 <br />SITE ADDRESS., d/ % CITY/STATE/ZIP J <br />PIPING <br />19 <br />CHANGES SITE/OWNER/PERMIT? YES TANKl <br />TANK Z/ TANK OT TANK C <br />INVENTORY RECONCILIATION <br />21 V <br />FORM A AND/OR B SUBMITTED . COMPUTER <br />COMPUTER COMPUTER COMPUTER <br />TANK GAUGING <br />23 <br />NUMBER <br />NUMBER NUMBER NUMBER <br />APPROVED RESPONSE PLAN <br />25 <br />TYPE OF INSPECTION SITE COMPUTtR # PER # <br />PER # PER # PER # <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />/31-// EXP. DATE <br />EXP. DATE EXP. DATE EXP. DATE <br />29 <br />30 <br />OPERATIONAL TANK TANK CONTENTS <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />MAJOR MINOR <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />PERMIT TO OPERATE 1 2 <br />35 <br />36 <br />CHANGE IN CONDITIONS TO OPERATE 3 4 <br />V37 <br />TEMPORARY TANK CLOSURE <br />APPROVED CONSTRUCTION 5 6 <br />REMOVAL OF RESIDUAL <br />WRITTEN MONITORING PROCEDURES 7 8 <br />39 <br />~' '✓ .._w. ,. <br />FLAMMABLE VAPORS REMOVED <br />40 <br />APPROVED MONITORING SYSTEM 9 10 <br />ACCESS LOCATIONS SEALED <br />MONITORING SYSTEM 11 12 <br />42 <br />POWER DISCONNECTED <br />APPROVED MONITOR FREQUENCY 13 14 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />HUT -3 ORIGINAL 5/88 0M <br />MONITORING RECORDS MAINTAINED <br />1 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 V <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />V37 <br />TEMPORARY TANK CLOSURE <br />son= I <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />~' '✓ .._w. ,. <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 v <br />FLAMMABLE VAPORS REMOVED <br />50 <br />_ .,..,. __.... <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 _� w,...._... <br />IMPROPER ABANDONMENT <br />155 <br />56 <br />THE MARKEDITEMS REPRESENT VIOLATIONS AN MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS-7tt�58 <br />- MAJOR 57MINORMINOR <br />VIOL. VIOL. <br />59 <br />NO <br />V IOL. <br />OFFICE: <br />INSP41,7e <br />RECEIVWEA <br />era�� <br />TITLE:,- l'l `S <br />PHONE' <br />BECK: <br />HUT -3 ORIGINAL 5/88 0M <br />