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ALU <br />P SITE ADDRESS: <br />~ a,ft <br />: <br />� a <br />UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT rlf ° <br />SAN JOAOUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />/! (! (a ! �` /INSPECTION DATE�v <br />1� <br />CITY/STATE/ZIP o�C'fi <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />FORM A AND/OR B SUBMITTED? <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK <br />COMPUTER — <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK <br />COMPUTERS <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TYPE OF INSPECTION <br />FSITEOMPUTER # <br />OPERATIONAL TANK <br />TANK CONTENTSW�&09'4' <br />:� <br />a <br />� <br />MAJOR MINOR" <br />PERMIT TO OPERATE <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4� <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />APPROVED CONSTRUCTION <br />5 g <br />! _ _eZ. <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 10 <br />MONITORING SYSTEM <br />—•-_ _._ ,. _�_ __. <br />_ _�_ __._ <br />11 12 <br />-- — <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />ACCESS CASING SECURED <br />17 18 <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />-- — <br />—,. <br />SAMPLING <br />29 30-- <br />— --- <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 134 <br />SAFETY HAZARD <br />35 136 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSUREwillW W <br />N <br />REMOVAL OF RESIDUAL 38 39 <br />FLAMMABLE VAPORS REMOVED 40 <br />ACCESS LOCATIONS SEALED 41 42 <br />POWER DISCONNECTED 43 _ µ <br />OWNER/OPERATOR MONITORING 44 45 <br />PERMANENT TANK CLOSURE.: <br />REMOVAL OF RESIDUAL MATERIALS 46 47 <br />PIPING 48 49 <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 56 <br />� <br />, <br />.._._,____ <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 MINOR 58 NO 59 <br />VIOL VIOL. ❑ VIOL. ❑ <br />! _ _eZ. <br />