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PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 147 <br />U ORGROUND TANK OFFICIAL INSPECTION *RT <br />PIPING 48 49 <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />FLAMMABLE VAPORS REMOVED 50 m <br />ENVIRONMENTAL HEALTH DIVISION <br />UNAUTHORIZED RELEASE 51 52 <br />445 N. San Joaquin Street <br />COUNTY NAME <br />Mailing Address: P.O. Box 388 <br />Stockton, CA 95201-0388 <br />COUNTY # <br />468-3420 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: <br />SITE NAME: 1 <br />57 58 <br />MAJOR <br />OL. VIOL. VIOL. 59 <br />El MINOR — <br />INSPECTION DATE: <br />SITE ADDRESS:3-6-11 <br />CITY/STATE/ZIP <br />1-4�1=- <br />Z -r1 / 04/0 <br />_4`75 <br />./TANK <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO <br />TANK -0 <br />TANK W6 <br />TANK Pr 7 <br />FORM A AND/OR B SUBMITTED? <br />_5 <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />TYPE OF INSPETTIQN <br />SITE COMPUTER # <br />PER # <br />PER # <br />PER # <br />PER # <br />EXP. DATE <br />EXP. DATE- <br />EXP. DATE <br />EXP. DATE <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 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 20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />24 <br />......... <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />130 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />J33 <br />35 <br />L34 <br />36 <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />EIX-fl <br />er 20 <br />041111611 ON I M11 lnll&-"11 <br />WE <br />w1ml SIX,, <br />�111 <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 />m43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS 46 147 <br />PIPING 48 49 <br />FLAMMABLE VAPORS REMOVED 50 m <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 />FOLLOWS: <br />'YSTEM STATUS (MUST MARK ONE) <br />57 58 <br />MAJOR <br />OL. VIOL. VIOL. 59 <br />El MINOR — <br />•INSP: RECEIVED By'/q.41i--,O�n 7-Z,: <br />44 47 <br />TITLE: <br />HUT -3 White - Original Yellow - owner's copy Pink - File Coov <br />