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UNDERGROUN- TANK PROGRAM OFFICIAL INSPE^TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICTq, ,/ <br /> 1601 E. HAZELTON AVE. <br /> C UNTY nME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: � �l INSPECTION DATE: <br /> Ap <br /> SITE ADDRESS: 7 G i m&,� d f CITY/STATE/ZIP <br /> CHANGES.SITE/OWNER/PERMIT? YES O TANK TANK e7 Zi TANK 03 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> ✓fir / EXP.DATE' EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK �S <br /> MAJOR MINOR na vns ..°.r g,. _ _...-.- ��...` ._ ..` ak .:5�� t=ds <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 ii 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 L35 <br /> 34 <br /> SAFETY HAZARD 36 <br /> CONDITIONS ABATED i 37 <br /> TEMPORARY TANK CLOSURE � ', m g. _ <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 /> �. <br /> b <br /> 'Kems_ I:r" <br /> PERMANENT TANK CLOSURE ° ° � a ° b®° •� '_ ��� <br /> - ° ✓� <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 155 156 <br /> THE MARKED ITEMS REP SENT IOLATIONS AN MUST BE RRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR Ej MINOR 0 NO 59 ✓ �� <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INS P: RECEIVED BY: <br /> TITLE: i1J ��S PHONE: ' RECK: <br /> HUT-3 I 6�—�`-O'RIGINAL 5188 ©M <br />