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UNDERGROUlf TANK PROGRAM OFFICIAL INSTION REPORT <br />SAN JOAQUIN HEALTH DISTRIC <br />O <br />b iM J, £• <br />S, <br />COUNTY NAME:�4 <br />1601 E. HAZELTON AVE. <br />STOCKTON, CA 95205 <br />COUNTY # 3 <br />� �� mom. <br />PHONE NO. 468-3423 <br />SITE NAME: <br />G��d 7 �� 4�`G� <br />INSPECTION DATE. <br />SITE ADDRESS: jF-, <br />l CITY/STATE/ZIPS <br />C. <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO TANK 01 TANK 0--l- <br />TANK 42 3 TANK O <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER COMPUTER <br />COMPUTER COMPUTER <br />NUMBER NUMBER <br /># PER # PER # <br />NUMBER NUMBER <br />PER # PER # <br />TYPE OF INSPECTION SITE COMPUTER <br />r o � h"L a-5- <br />` <br />EYP.DATE Z4L-Z EXP. DATE <br />EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />. . . . . � <br />Y <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 10 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />15 16 <br />MONITORING RECORDS MAINTAINED <br />17 18 <br />ACCESS CASING SECURED <br />19 20 <br />PIPING <br />21 22 <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />SAMPLING <br />29 30 <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />37 <br />•�'�- •x <br />O <br />b iM J, £• <br />S, <br />� �� mom. <br />•-�- � � <br />•���� <br />VIII I� III 1 <br />. . . <br />§1+, <br />�£#'SxF�'t sie�3 .Z�Sa•Bfes. <br />W <br />r � <br />. . . . . � <br />Y <br />�r , <br />o <br />