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UNDERGROUND NK PROGRAM OFFICIAL INSPE N REPORT6f <br /> WN JOAQUIN HEALTH DISTRICT <br /> r` <br /> COUNTY NAME S_Al STOCKTON, CA 95205»v gax COUNTY # <br /> �7 "PHONE NO. 4 8-3423 ,$ fC f5T&/ q <br /> SITE NAME: tkr � r( �' �� INSPECTION DATE: lo,/Z, <br /> SITE ADDRESS: ' �b/,2 y CITY/STATE/ZIP s S�ZD <br /> CHANGES SITE/OWNER/PERMIT? YES . NO TANK ITANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTERCOMPUTER COMPUTER <br /> TYPE SPECTION SITE COMPUTER# NUMBE �a#o Al- NUMBEI�®IOo NUMBEWIVO P NUMBER <br /> / Q 2 PER# PER# ` PER# ,�I� PER# <br /> 4-EXP.DATA" EXP.DATE / / EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MA Op'j MINOR <br /> PERMIT TO OPERATE 1 N 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 lff <br /> PIPING 19 120 - <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 _~ <br /> APPROVED TANK REPAIRS 31 32 �� <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED rZ, 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 /> 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 155 156 <br /> THE MARKE EPRESENT VIOLATIONS AND MUST BE CORRECT D-A <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS. �'�� usol aN e <br /> 57 58 59 <br /> MAJOR MINORNO <br /> VIOL. VIOL ❑ VIOL.❑ <br /> OFFICE: INSP: l AlREED B IvA S W A"Tj <br /> TITLE:�J ov -7 tl PHONE: BECK: <br /> • i+ <br /> HUT-3 ORIGINAL 5/88 �" <br />