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UNDERGROUNNK PROGRAM OFFICIAL INSPE ON REPORT <br />N JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />�IUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME: Q ?n <br />U <br />INSPECTION DATE: <br />SITE ADDRESS: j ' /� ANT 1 <br />CITY/STATE/ZIP <br />TANK CONTENTS <br />CHANGES SITE YES NO <br />TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER <br />COMPUT <br />NUMBER r <br />COMPUT R �(� <br />NUMBER . <br />COMPU <br />NUMBER �j <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />O <br />PER # vV UVV <br />PER # <br />PER�!D u"� <br />PER # j <br />/ W C <br />U <br />EXP. dATE <br />EXP. DATE EXP. DATE 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 <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 />-' <br />ACCESS CASING SECURED <br />17 <br />18 <br />ING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <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 33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <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 />. _ .__....... <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSUREIN, <br />'iffil01 <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 _� <br />FLAMMABLE VAPORS REMOVED <br />50m <br />11 <br />- <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />155 <br />156���� <br />®,S <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK 011E) <br />, <br />FOLLOWS: SAC <br />ov64& 2 r <br />MAJOR 57 MINOR j58 <br />VIOL. LiVIOL. In <br />NO 59 <br />VIOL. ❑ <br />0 <br />OFFICE: <br />INSP./, <br />RECE D BY: <br />336 <br />46t-6336 <br />► <br />TITLE:�f <br />PHONE: 5 <br />�- <br />JR&A': <br />HUT-3 ORIGINAL 5/88 <br />