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SAN JOAOUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME Stockton, CA 95201-0388 COU;Tf # <br />468-3420 <br />SITE NAME: INSPECTION DATE: <br />m § womm <br />CHANGES SITE/OWNER/PERMI:f?- YE9 Nd I TAN' <br />F 0 9§A orb 0 COMPUTER COMPUTER <br />'NUMBER <br />NUMBER <br />TYPE OF INSPECTION I I <br />iiSITE COMPUTER <br />R EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />PERMIT 70 OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREOUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />!NVENTORY •LLQ <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />uqfmi 0161� <br />EMOVAL OF RESIDUAL, MATERIALS <br />IPING <br />LAMMABLE VAPORS REMOVED <br />NAUTHORIZED RELEASE <br />AMPLING <br />APROPER ABANDONMENT <br />(STEM STATUS (MUST MARK ONE) <br />57 58 59 <br />MAJOR MINOR NO <br />VIOL. VIOL. VOL. LJ <br />RRITJ <br />I <br />I <br />TITLE: - ; <br />HUT -3 White -Original yellow - Owner's Copy Pink - File Copv <br />THE MARKEDITEMS REPRESENT VIOLAI IONS ANU rAZ51 t1t UUMIt, I tU Ha <br />FOLLOWS: �5 LI <br />9L,2 <br />Arl <br />R lr <br />1, <br />21m <br />PHS 178 (4/96) <br />-j- <br />46 47 <br />48 49 <br />50 <br />51 52 <br />53 54 <br />55 56 <br />57 58 59 <br />MAJOR MINOR NO <br />VIOL. VIOL. VOL. LJ <br />RRITJ <br />I <br />I <br />TITLE: - ; <br />HUT -3 White -Original yellow - Owner's Copy Pink - File Copv <br />THE MARKEDITEMS REPRESENT VIOLAI IONS ANU rAZ51 t1t UUMIt, I tU Ha <br />FOLLOWS: �5 LI <br />9L,2 <br />Arl <br />R lr <br />1, <br />21m <br />PHS 178 (4/96) <br />