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" UERRU TANK PROGRAM OFFICIAL INSPlrlON REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY <br />c <br />PHONE NO. 468-3423 <br />SITE NAME: INSPECTION DATE: / <br />SITE ADDRESS: a,CITY/STATE/ZIP ._ r ". <br />CHANGES SITE/OWNERIPERMIT? ,�--°-� NO TANK I TANK TANK TANK <br />FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br />N NUMBER NUMBER NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER c� PER # PER # PER # PER # <br />:R r "� n 7✓: Mrd i c°? EXP: DATE EXP: DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK TANK CONTENTS <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 18PIP <br />ACING 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 36 <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 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 />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST, BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE)' 1 <br />FOLLOWS: <br />`+o,) <br />F <br />-r r d r ap <br />r f'°nt*ta?;.,, �,l i"',- j`"�,.'s-�', a^"'.R..>. R s ew f--,:_,. s. e• ."'=c`, e r•n..�' _.:.. f'"'f" fr`ta.^`,... q <br />MAJOR 57 MINOR 58 NO 59 a'Pk... r'' . -.; I . . <br />VIOL. E:] MINOR <br />❑ VIOL. ❑ <br />OFFICE: INSP: I i RECEIVED BY: <br />f`•" 3.X9 f •d,,;r P: >. f <br />TITLE: PHONE: BECK: <br />HUT -3 FILE COPY 5/88 0M <br />