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�- UNDERGROl"'D TANK PROGRAM OFFICIAL INS'"CTION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC ;! <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMEc l T STOCKTON, CA 95205 COUNTY # <br /> . t, ALV PHONE NO. 468-3423 <br /> SITE NAME: > ire &Lci(y"'C-6 6-1 -.L�` /-.rc �-ry D-sL-c� • INSPECTION DATE: S 18 I 9 <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> I UJ . Tiv.n.�.-� Gla j L-oa Com- LodL�� Cwt Q <br /> CHANGES SITE/OWNER/PERMIT? YES NOTANK p TANK TANK TANKI <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> II <br /> TYPE OF INSPEGTIONUMBER NUMBER NUMBER <br /> S SITE COMPUTER# NUMBER L <br /> PER# i PER# PER# PER#r( <br /> RuxcaueG h'a.% e21 94S EXP.DATE ' EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANKCONTENIS <br /> ) yat y <br /> MAJOR MINOR L 3P„ a"�.k»>dhx., <br /> PERMIT TO OPERATE 1 2 j it <br /> CHANGE IN CONDITIONS TO OPERATE <br /> APPROVED CONSTRUCTION 5 6 E sk <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 Ij 14 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> .MONITORING RECORDS MAINTAINED 15 16 ` It , <br /> ACCESS CASING SECURED 17 <br /> PIPING 19 20 - <br /> INVENTORY RECONCILIATION 21 22 -------------- <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 'I > <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 �• <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED <br /> SAFETY HAZARD <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE ,} _ aro ; <br /> REMOVAL OF RESIDUAL W43 <br /> €.. 77 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED g i� <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING Ij <br /> PERMANENT TANK CLOSURE a y ON rf - $fute ,@ � <br /> 01 <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 11 A _ <br /> UNAUTHORIZED RELEASE 51 52 _!� ---(/-- <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:57 <br /> q If <br /> n. <br /> MAJOR <br /> VIOL. ❑ VIOL.R ❑ VOL.❑ I� <br /> OFFICE: INSP: RECEIVED BY: <br /> G LAD c,�� <br /> ,v <br /> TITLE:E �1 PHONE: RECK <br /> `� <br /> HUT-3 ORIGINAL is <br />