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REMOVAL OF RESIDUAL 38 39 <br />FLAMMABLE VAPORS REMOVED 40 <br />UNDERGROUNTANK PROGRAM OFFICIAL INSP ION REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />POWER DISCONNECTED <br />SITE NAME: <br />INSPECTION DATE <br />OWNER/OPERATOR MONITORING <br />SITE ADDRESS: CITY/STATE/ZIP 76 <br />45 <br />CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br />PERMANENT TANK CLOSURE <br />FORM A AND/OR B SUBMITTED?COMPUTER COMPUT &COMPUTE OMPUTEFIV <br />COMPUTER # NUMBER V`� NUMBER NUMBER UMBER <br />/ <br />TYPE OF INSPECTION SITE <br />Q PER #/ 04)� PER # PER # PER # <br />® <br />46 <br />47 <br />I\Qi/tQ EXP. RATE EXP. DA EXP. DATE EXP. DATLO/ <br />PIPING <br />48 <br />OPERATIONAL TANK TANK CONTENTSINNER <br />FLAMMABLE VAPORS REMOVED <br />MAJOR MINOR <br />PERMIT TO OPERATE 1 2 <br />77 <br />51 <br />52 <br />CHANGE IN CONDITIONS TO OPERATE 3 4 <br />SAMPLING <br />53 <br />APPROVED CONSTRUCTION 5 6 <br />IMPROPER ABANDONMENT <br />WRITTEN MONITORING PROCEDURES 7 8 <br />56 <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 18 <br />PIPING 19 20 <br />INVENTORY RECONCILIATION 21 22 a <br />TANK GAUGING 23 24 <br />APPROVED RESPONSE PLAN 25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br />SAMPLING 29 30 �- <br />APPROVED TANK REPAIRS 31 32 <br />UNAUTHORIZED RELEASES REPORTED 33 34 <br />SAFETY HAZARD 35 36- <br />_.._,..., -- <br />CONDITIONS ABATED 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL 38 39 <br />FLAMMABLE VAPORS REMOVED 40 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE COECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: 2- o � <br />57 <br />58 <br />MAJOR LJ MINOf-_ T R VI 0 <br />VIOL. VIOL. VIOL. > / 1 <br />llq-z S IV ef <br />cr/ G�i[S aFP <br />OFFICE: INSPI RECEIVE�BY: <br />TITLE��% tf <br />iW,3 <br />r <br />HUT -3 ORIGINAL <br />BECK: <br />5/88 0 M <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 <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE COECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: 2- o � <br />57 <br />58 <br />MAJOR LJ MINOf-_ T R VI 0 <br />VIOL. VIOL. VIOL. > / 1 <br />llq-z S IV ef <br />cr/ G�i[S aFP <br />OFFICE: INSPI RECEIVE�BY: <br />TITLE��% tf <br />iW,3 <br />r <br />HUT -3 ORIGINAL <br />BECK: <br />5/88 0 M <br />