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UNDERGROU. TANK PROGRAM OFFICIAL INSP ION REO <br /> WAN JOAQUIN HEALTH DISTRICT '" <br /> N AVE. <br /> fC 1STOCKTON, CA601 E. 095205 <br /> COUNTY NAME PHONE NO. 468-3423 <br /> COUNTY # <br /> SITE NAME: Q 1e �� INSPECTION DATE: ll j <br /> SITE ADDRESS: c / ^y� 6 CITY/STATE/ZIP . <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANKTANK �_ TANK 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMB <br /> TYPE OF IN PECTION SITE COMPUTER# �o PER# NUMBER NUMBER <br /> 10 � ,nr� <br /> PER# / PER# �' PER# /W� PER# <br /> / 745� . EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR' <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 4 <br /> _. _ <br /> WRITTEN MONITORING PROCEDURES 7 8 <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 <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 _ � v <br /> SAFETY HAZARD 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSUREmill IN <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 144 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <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 /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 1.� <br /> 5 <br /> MAJOR MINOR NO <br /> VIOL. VIOL. ❑58 59 VIOL.❑ <br /> OFFICE: INSP l' RECEIVED BY: <br /> zawj - <br /> TITLE'`._ PHO BECK: <br /> HUT-3 ORIGINAL 5/88 0M <br />