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UNDERGROUTANK PROGRAM OFFICIAL INSP"TION REPORT <br />WAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME <br />Rr <br />TEMPORARY TANK CLOSURE <br />STOCKTON, CA 95205 <br />COUNTY # 3 �' <br />REMOVAL OF RESIDUAL <br />PHONE NO. 468-3423 <br />FLAMMABLE VAPORS REMOVED <br />SITE NAME: <br />4G `� <br />_ f <br />ACCESS LOCATIONS SEALED <br />INSPECTION DATE:`Z <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />SITE ADDRESS: <br />G <br />- .� <br />CITY/STATE/ZIP <br />l J 3�� <br />PERMANENT TANK CLOSURE <br />CHANGES SITE YES <br />NO TANK <br />TANK <br />TANK j TANK <br />46 <br />FORM A AND/OR B SUBMITTED? <br />COMPUT <br />COMPUTER <br />COMPUTER COMPUTER <br />49 <br />FLAMMABLE VAPORS REMOVED <br />NUMBER <br />-70u <br />PER # /��v� <br />NUMBER <br />PER # <br />NUMBER NUMBER <br />PER # PER # <br />UNAUTHORIZED RELEASE <br />TY OF IN PECTION <br />52 <br />SITE COMPUTER # <br />SAMPLING <br />J� / '/jS _ <br />l��V�J <br />T� <br />PYP nATFA.=t1 • <br />FXP f1ATF <br />FXP nATF FXP DATF <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <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 />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED <br />OFFICE: INSP: w <br />TITLE: <br />i <br />HUT -3 ORIGINAL <br />RECEIVED BY: <br />3r -oma / L7 I RECK: <br />5/88 0 <br />i <br />Rr <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED <br />OFFICE: INSP: w <br />TITLE: <br />i <br />HUT -3 ORIGINAL <br />RECEIVED BY: <br />3r -oma / L7 I RECK: <br />5/88 0 <br />i <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />57 58 <br />59 <br />MAJOR MINOR NO <br />❑ ❑ <br />VIOL. VIOL. VIOL. <br />n <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED <br />OFFICE: INSP: w <br />TITLE: <br />i <br />HUT -3 ORIGINAL <br />RECEIVED BY: <br />3r -oma / L7 I RECK: <br />5/88 0 <br />i <br />