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UNDERGROU K PROGRAM OFFICIAL INSP N REPORT <br />I JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME <br />TANK CONTENTS <br />STOCKTON, CA 95205 <br />COUNTY #. <br />PERMIT TO OPERATE <br />1 <br />PHONE NO. <br />468-3423 <br />3 <br />SITE NAME: <br />APPROVED CONSTRUCTION <br />5 <br />'?� <br />INSPECTION DATE: z— <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />SITE ADDRESS: <br />2 u <br />flSewn �L <br />CITY/STATE/ZIP <br />14�ail TGC <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO TANK <br />Q S TANK 06 <br />TANK V-( <br />TANK ® Q <br />FORM A AND/OR B <br />SUBMITTED? <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />21 <br />22 <br />NUMBER <br />NUMBER <br />NUMBER <br />NUMBER <br />TYPE OF INSPECTION <br />26 <br />SITE COMPUTER # <br />PER # <br />PER # <br />PER # <br />PER # <br />v ✓ e- <br />APPROVED TANK REPAIRS <br />I ) Z C/ <br />EXP DATE <br />EXP DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <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 />ACCESS CASING SECURED <br />17 <br />18 µ <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27X.28 <br />SAMPLING <br />25 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 _ <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 />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50,,.,... <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MOST BE CORRECTEC <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 59 <br />MAJOR rlql LLT MINOR NO <br />VIOL. VIOL. VIOL. <br />OFFICE: INSGi` I$RECEIVED BY: <br />TITLE: S i /� PHONE: RECK: <br />HUT -3 ORIGINAL 5/88 0 M <br />