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TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />SYSTEM STATUS (MUST MARK ONE) <br />0 <br />m <br />m <br />v <br />0 <br />46 <br />48 <br />50 <br />51 <br />53 <br />55 <br />58 <br />MAJOR (57 MINOR NO 59 <br />VIOL. IL131 VIOL. ❑ VIOL. ❑ <br />OFFICE: IINSP: <br />TITLE: <br />HUT -3 <br />m <br />IN <br />m <br />m <br />m <br />THE MARKED ITEMS REPRESENT <br />FOLLOWS: S;py - <br />�e� <br />ORIGINAL <br />BY: <br />AND MUST BE CORRECTED AS <br />BECK: <br />5/88 F <br />UNDERGROU NK <br />PROGRAM OFFICIAL INS ON REPORT <br />' _4N <br />JOAQUIN <br />HEALTH DISTRICT <br />COUNTY NAME <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 <br />COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: da/fid <br />" <br />®� <br />INSPECTION DATE., <br />SITE ADDRESS: <br />CITY/STATE/ZIF f " <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />410 <br />TANK TANK / <br />COMPUT <br />TANK TANK <br />COMPUTER COMPUTER <br />FORM A AND/OR B SUBMITTED?' <br />COMPUTER7 <br />NUMBER NUMBER <br />NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # <br />PER # PER # <br />PER # PER # <br />1✓e <br />EXP. DATE EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR <br />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 />110 <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 />1-/,— <br />18 <br />_ .�.._.....�.,�._..�.,_ <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 />5 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />m <br />a <br />SAFETY HAZARD <br />35 <br />136 <br />CONDITIONS ABATED <br />//: <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />SYSTEM STATUS (MUST MARK ONE) <br />0 <br />m <br />m <br />v <br />0 <br />46 <br />48 <br />50 <br />51 <br />53 <br />55 <br />58 <br />MAJOR (57 MINOR NO 59 <br />VIOL. IL131 VIOL. ❑ VIOL. ❑ <br />OFFICE: IINSP: <br />TITLE: <br />HUT -3 <br />m <br />IN <br />m <br />m <br />m <br />THE MARKED ITEMS REPRESENT <br />FOLLOWS: S;py - <br />�e� <br />ORIGINAL <br />BY: <br />AND MUST BE CORRECTED AS <br />BECK: <br />5/88 F <br />