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UNDERGROU-TANK PROGRAM OFFICIAL INSP TION REPORT <br />SAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME <br />STOCKTON, CA 95205 <br />PHONE NO. 468-3423 <br />COUNTY # <br />SITE NAME: �crl c Owl <br />/� <br />6 <br />INSPECTION DATE: /Z <br />PERMIT TO OPERATE <br />SITE ADDRESS:Z� © '51qtr <br />2 <br />CITY/STATE/ZIP <br />.N� <br />s c <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO TANK <br />( TANK Z <br />TANK 3 <br />TANK <br />6 <br />FORM A AND/OR B SUBMITTED? <br />TYP F INSPECTION SITE COMPUTER # <br />til o e /� � <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />COMPUTER <br />NUMBER <br />PER # <br />I EXP. DATE <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 156 m. <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS- S C <br />MAJOR 57 MINOR 58 NO 59 v� h ' A, <br />VIOL. VIOL. ❑ VIOL. ❑ ee- % //a <br />/'c <br />c c.n /-,' X . i Af L G3 �4e,&,; �G !/ 4✓��Ci 4✓l J I'7Cor/ y le <br />OFFICE: IN` SP�-- EIVED BY: <br />r� <br />TITLE: P o <br />HUT -3 ORIGINAL <br />RECK: <br />4 <br />�G <br />5/88 0 M <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 <br />16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />✓� �.-^ <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES, REPORTED <br />SAFETY HAZARD <br />33 <br />35 <br />34P <br />36_ <br />--- Zee' ..,., <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 156 m. <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS- S C <br />MAJOR 57 MINOR 58 NO 59 v� h ' A, <br />VIOL. VIOL. ❑ VIOL. ❑ ee- % //a <br />/'c <br />c c.n /-,' X . i Af L G3 �4e,&,; �G !/ 4✓��Ci 4✓l J I'7Cor/ y le <br />OFFICE: IN` SP�-- EIVED BY: <br />r� <br />TITLE: P o <br />HUT -3 ORIGINAL <br />RECK: <br />4 <br />�G <br />5/88 0 M <br />