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UNDERGROUND NK PROGRAM OFFICIAL INSPECVPN REPORT <br />1 JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # 31 <br />PHONE NO. 468-3423 <br />SITE NAME:�S Aha o Awa L/ �G(Q/=' j `7 INSPECTION DATE: Gj <br />I <br />SITE ADDRESS: � �� C /IjT L!/✓ CITY/STATE/ZIP XnG - J ;-7 7t/ <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />TANK TANK TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTE /�, COMPUT COMPUTER <br />NUMBER (XIj NUMBER ` 0 NUMBER eG�L <br />PER #�Z� v ER # ZGOQ PER #y�q��^/ <br />EXP. DATE EXP. DATE EXP. 6 0 � <br />COMPUTER <br />NUMBER�V,,O♦ <br />PER # <br />EXP. DATE <br />TYPE OF INSPECTION SITE COMPUTER.# <br />&if ,�/e .7ws � � <br />0 <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />POWER DISCONNECTED <br />UNAUTHORIZED RELEASE <br />1 2 <br />PERMIT TO OPERATE <br />— <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />45 <br />IMPROPER ABANDONMENT <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />APPROVED MONITORING SYSTEM <br />9 10 <br />FOLLOWS: <br />MONITORING SYSTEM <br />11 12 <br />- <br />13 14 <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />�� V / ��r"q �" /�'L- In% <br />17 18 <br />e o ISO 0o qxw, <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 />— <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />//: 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />139 _ <br />REMOVAL OF RESIDUAL MATERIALS <br />FLAMMABLE VAPORS REMOVED <br />47 <br />40w <br />T WVV <br />48 <br />ACCESS LOCATIONS SEALED <br />— <br />41 <br />42 <br />POWER DISCONNECTED <br />UNAUTHORIZED RELEASE <br />51 <br />43 <br />OWNER/OPERATOR MONITORING <br />53 <br />44 <br />45 <br />IMPROPER ABANDONMENT <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />— <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 CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />57 58 <br />59 <br />MAJOR MINOR NO <br />VIOL. ❑ VIOL. ❑ VIOL. <br />�� V / ��r"q �" /�'L- In% <br />e o ISO 0o qxw, <br />OFFICE: <br />INSP.,, <br />II TITLE: 9645; <br />HUT -3 ORIGINAL <br />RgI <br />PHONE: <br />BECK: <br />r <br />5/88 0 n <br />