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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> -COUNTY NAME - STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 -32 <br /> SITE NAME: Pa-C /` ` INSPECTION DATE: Za <br /> SITE ADDRESS: loe <br /> 1� N/, S' -o Q CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK V (p TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF I SPECT1 SITE COMPUTER# NUMBERS NUMBER NUMBER NUMBER <br /> ` ��° / �L/ PER# "'a7g PER# PER# PER# <br /> n l A 3 1 Q 6o EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERA-noN4L TANK TANK CONTIEM <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 � � <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> PIPING 48 149 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED MS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:58 <br /> �- <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. ❑ . VIOL. ❑ VIOL❑ <br /> • , <br /> OFFICE: INSP• ` <br /> � l�fao 01 u )YL n E= RYK 3C�O <br /> C4 Q3-7 la <br /> TITLE:SrV r`fSf� e ,€ ` ECK: <br /> Y7'yi L <br /> 1 <br /> HUT-3 WRIGINAL 5/88 0M <br />