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x <br /> UNDERGROUNDNK PROGRAM OFFICIAL INSPEC�N REPORT to <br /> N JOAQUIN HEALTH DISTRICT ,..----.�- <br /> 1601 E. HAZELTON AVE. t <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # 3f <br /> PHONE NO. 468-3423 <br /> SITE NAME: / N L, s i4 —7.5 1, INSPECTION DATE: <br /> SITE ADDRESS: ,/�� -( j CITY/STATE/ZIP 97'Y3-.t/7 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK r TANK-1-y— TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER ! COMPUTECOMPUT COMPUT �fzl <br /> TYPE OF INSPECTION SITE COMPUTER# PER# 9(j NUMBER)O101. NUMBER S�Q0 NUMBER <br /> PER# PER# / �J�y PER# PER# <br /> EXP.DATE Op C EXP.DATE ! EXP.DA EXP. TE `J <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 18 <br /> PIPING 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 <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 VIOLATIIOON�AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOW � ve` "o Qom'-ao' <br /> cs ,tee <br /> 57 58 59 <br /> MAJOR MINOVIOL. VIOL..R ❑ VIOL.❑ <br /> OFFICE: INSP:&Xv"j <br /> ECEIVED <br /> TITLE: j PHO. E: R CK: <br /> HUT-3 / ORIGINAL 5/88__0 <br />