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UNDERGROUTANK PROGRAM OFFICIAL INSPE"TION <br />REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAMESTOCKTON, <br />CA 95205 <br />COUNTY # 39 <br />^1 (,{(� <br />PHONE NO. 468-3423 <br />SITE NAME: Bcwk f <br />INSPECTION DATE: ?bWe <br />Q oG <br />bt-s <br />SITE ADDRESS: 50C)o S <br />CITY/STATE/ZIP <br />orf- Wau <br />S'f�ek�v�s C 206 <br />CHANGES SITE/O MIT? <br />NO TANK TANK <br />TANK TANK <br />FORM A AND/(KZ B SUBMITT ? COMPUTER COMPUTER <br />COMPUTER COMPUTER <br />NUMBER NUMBER <br />NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # <br />PER # PER # <br />PER # PER # <br />EXP. DATE EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE 1 <br />2 <br />777 <br />CHANGE IN CONDITIONS TO OPERATE 3 <br />4 <br />APPROVED CONSTRUCTION 5 <br />6 <br />-- <br />WRITTEN MONITORING PROCEDURES 7 <br />8 _ <br />APPROVED MONITORING SYSTEM 9 <br />10 <br />MONITORING SYSTEM 11 <br />12 <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />MONITORING RECORDS MAINTAINED 15 <br />16 <br />ACCESS CASING SECURED 17 <br />18 <br />PIPING 19 <br />20 <br />INVENTORY RECONCILIATION 21 <br />22 <br />TANK GAUGING 23 <br />24 <br />APPROVED RESPONSE PLAN 25 <br />26 M <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING 29 <br />30 <br />APPROVED TANK REPAIRS 31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />SAFETY HAZARD 35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 38 <br />39 <br />FLAMMABLE VAPORS REMOVED 40 <br />ACCESS LOCATIONS SEALED 41 <br />42 <br />N� <br />POWER DISCONNECTED <br />43 <br />m_.. <br />OWNER/OPERATOR MONITORING 44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 <br />47 <br />PIPING 48 <br />49 ✓ <br />_.. _ _ __ <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 <br />52 <br />_._. <br />SAMPLING 53 <br />54 <br />IMPROPER ABANDONMENT 155 <br />156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS , <br />SYSTEM STATUS (MUST WRK ONE) vLd( <br />;NS FOLLOWS: <br />gIt "il�1N <br />O ,bS'E't'i 4n(&r?A j cot- ! n t-: 4 a p-4 Oise5A <br />57 58 59 <br />MAJOR❑ MINOR ❑ ❑ <br />y� INS <br />hid,.0 <br />VIOL. VOL. <br />OFFICE: <br />INSP: <br />J' <br />RECEIVED BY: <br />CAar%s <br />TITLE: <br />PHONE: <br />BECK: <br />HUT -3 <br />ORIGINAL <br />5/88 �' <br />