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TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />M1111111110 <br />�No <br />=m <br />��Mm <br />011111111m <br />46 <br />48 <br />50 <br />51 <br />53 <br />55 <br />(STEM STATUS (MUST MARK ONE) <br />57 58 59 <br />MAJORNO <br />VIOL. ❑ VIOLL..R ❑ VIOL. ❑ <br />47 <br />49 <br />WT <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />OFFICE: INSP: /) RECEIVED BY: <br />4�410L--L <br />TITLE: PHONE: BECK: <br />HUT -3 ORIGINAL 5/88 ©M <br />UNDERGROUITANK PROGRAM OFFICIAL INS P�TION REPORT <br />AN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME J( STOCKTON, CA 95205 COUNTY # <br />C(, PHONE NO. 468-3423 <br />SITE NAME:it/ �L INSPECTION DATE: <br />h �M� j 7 <br />u <br />SITE ADDRESS: / 4 0,;), <br />a �5CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES NO IANK //5-,f-6 TANK TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER <br />NUMBER NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # <br />I J 1 PER # PER # PER # <br />EXP. DATE EXP. DATE EXP. DATE <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 4 <br />7mm <br />APPROVED CONSTRUCTION <br />5 6 <br />mm� <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />9 10 A <br />11 12 <br />MONITORING SYSTEM <br />13 14 <br />APPROVED MONITOR FREQUENCY <br />15 16 <br />MONITORING RECORDS MAINTAINED <br />17 18 <br />ACCESS CASING SECURED <br />PIPING <br />19 20 <br />21 22 <br />w <br />INVENTORY RECONCILIATION <br />23 24 <br />TANK GAUGING <br />25 26 _ �~ <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />SAMPLING <br />29 30__ <br />31 32 <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />/ 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />M1111111110 <br />�No <br />=m <br />��Mm <br />011111111m <br />46 <br />48 <br />50 <br />51 <br />53 <br />55 <br />(STEM STATUS (MUST MARK ONE) <br />57 58 59 <br />MAJORNO <br />VIOL. ❑ VIOLL..R ❑ VIOL. ❑ <br />47 <br />49 <br />WT <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />OFFICE: INSP: /) RECEIVED BY: <br />4�410L--L <br />TITLE: PHONE: BECK: <br />HUT -3 ORIGINAL 5/88 ©M <br />