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UNDERGROU & TANK PROGRAM OFFICIAL INSP ION REPORT <br />WBAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: v k <br />� <br />48 <br />INSPECTION DATE: <br />SITE ADDRESS: / Z -7-Z <br />CITY/STATE/ZIP <br />S�=,C k_U� <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO TANK ( <br />TANK Z <br />TANK 3 TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />COMPUTER <br />COMPUTER COMPUTER <br />IMPROPER ABANDONMENT <br />NUMBER <br />NUMBER <br />NUMBER NUMBER <br />TYPE INSPECTION <br />SITE COMPUTER # <br />PER # <br />PER # <br />PER # PER # <br />L <br />5 <br />Q (/4( <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINORHill <br />PERMIT TO OPERATE <br />1 <br />2 <br />_ <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4� <br />APPROVED CONSTRUCTION <br />6 <br />WRITTEN MONITORING PROCEDURES <br />8 <br />_ <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />3 <br />14 ✓� <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />_ <br />UNAUTHORIZED RELEASES REPORTED <br />34 _ <br />____ <br />_.__ ~ <br />SAFETY HAZARD <br />35 <br />36 ✓ <br />f <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING 44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 - w <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />155 <br />156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS - <br />59 <br />MAJOR] MINOR o NO <br />VIOL. LLi��JJ VIOL. VIOL. <br />OFFICE: INSP: RC ED BY: <br />TITLE: , PHONE: vBECK: <br />HUT -3 IORIGINAL 5/88 0 <br />' <br />