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OPERATIONAL TANKTANK PERMIT roOPERATE U&GROUND TANK OFFICIAL INSPECTION REORT gr SAN JOAOUIN PUBLIC HEALTH SERVICES FLAMMABLE VAPORS REMOVED 50 m CHANGE |wCONDITIONS n}OPERATE ENVIRONMENTAL HEALTH DIVISION RN FLAMMABLE VAPORS REMOVED 40 445 N. San Joaquin Street APPROVED CONSTRUCTION IMPROPER ABANDONMENT 155 156 COUNTY NAME Mailing Address: P.O. Box 388 Stockton, CA 95201-0388 COUNTY # THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS FOLLOWS: 6 -eo mb a WRITTEN MONITORING PROCEDURES 468-3420 MAJOR 57 MINOR 58 NO 59 SITE NAME: INSPECTION DATE: SITE ADDRESS: CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO TANK 1995--6-1 _TANK TANK -TANK FORM A AND/OR B SUBMITTED? APPROVED MONITOR FREQUENCY COMPUTER J!,j I f) 3COMPUTER NUMBER NUMBER COMPUTER NUMBER COMPUTER NUMBER TYPE OF INSPECTION SITE COM LITER # 15 16 ACCESS CASING SECURED EXP. DATE EXP.DATE EXP. DATE EXP. DATE OPERATIONAL TANKTANK PERMIT roOPERATE CONTENTS MAJOR MINOR gr FLAMMABLE VAPORS REMOVED 50 m CHANGE |wCONDITIONS n}OPERATE UNAUTHORIZED RELEASE 51 52 RN FLAMMABLE VAPORS REMOVED 40 APPROVED CONSTRUCTION IMPROPER ABANDONMENT 155 156 ACCESS LOCATIONS SEALED THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS FOLLOWS: 6 -eo mb a WRITTEN MONITORING PROCEDURES ----------- - ' MAJOR 57 MINOR 58 NO 59 OWNER/OPERATOR MONITORING 45P APPROVED MONITORING SYSTEM 9 110 MONITORING SYSTEM 11 112 APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 PIPING 19 20 INVENTORY RECONCILIATION 21 22 TANK GAUGING 23 24--- `^ APPROVED RESPONSE PLAN 25 26------------- -'' -- - owAUT*0R|ZEQRELEASE OCCURRENCE 27 28 8AmPL|W8 29 30- - -' - ------ ' —' APPROVED TANK REPAIRS 31 32---- --' UNAUTHORIZED RELEASES REPORTED - -- -- - - SAFETY HAZARD ----' ---- --- -- -- --- - CONDITIONS ABATED TEMPORARY TANK CLOSURE gr FLAMMABLE VAPORS REMOVED 50 m REMOVAL OFRESIDUAL 38 139 UNAUTHORIZED RELEASE 51 52 RN FLAMMABLE VAPORS REMOVED 40 IMPROPER ABANDONMENT 155 156 ACCESS LOCATIONS SEALED THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS FOLLOWS: 6 -eo mb a POWER DISCONNECTED j4 ----------- - ' MAJOR 57 MINOR 58 NO 59 OWNER/OPERATOR MONITORING 45P PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 m UNAUTHORIZED RELEASE 51 52 SAMPLING 153 154 IMPROPER ABANDONMENT 155 156 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS FOLLOWS: 6 -eo mb a SYSTEM STATUS (MUST MARK ONE) MAJOR 57 MINOR 58 NO 59 F__ max" TITLE: PHONE: RECK: HUT -3 Whits - OrIginal Yellow - Owner's Copy Pink - File Coov