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UNDERGROUF7',TANK PROGRAM OFFICIAL INSP"TION REPORT <br /> USAN JOAQUIN HE 1601 E. oLITH DISTRICT <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY #�( �' 1 <br /> PHONE NO. 468-3423 <br /> SITE NAME: eo „ /� INSPECTION DATE: <br /> SITE ADDRESS: ��QQ /V, w�'/s� CITY/STATE/ZIP ��i �� 70c;v' <br /> CHANGES SITE YES NO TAN TANK 00- TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER/q?7 NUMBER/al7 NUMBER NUMBER <br /> a 9 7 PER# PER# PER# PER# <br /> TYPE OF INSPECTION -T <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR I 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 ✓ -- m -- V M - <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 /> SAMPLING29 30 ._ __.,...__w _._,.._.._.._._.__._ ._...�_.....,...._._._ ____._...._..._.__ <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD <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 /> __...._.._..__._....... ....,. _.,_ ........___,_.___.___ __ _. _.._.:_. �....._.__ _.....M..__...__.__.._. _.. <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) FOLLOWS:s e _ <br /> 59 <br /> MAJORE] <br /> MINOR -7 NO <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INSP: �� _ Y:�C�I �p (cam p, Cie <br /> ,gra <br /> ce., 6- . <br /> TITLE- �f PHONE: BECK: <br /> HUT-3 ORIGINAL siea 0 <br />