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UNDERGROUV TANK PROGRAM OFFICIAL INSPr'--TION REPORT <br /> ,�►- - SAN JOAQUIN HETAOL� ,,� <br /> HEALTH TON <br /> 1601 E. HAZELAVE. <br /> COUNTY NAME&,y,tSTOCKTON, CA 95205 COUNTY # 9 <br /> (J PHONE NO. 468-3423 <br /> SITE NAME '0 1 - SPECTION DATE: <br /> jg&z'lq-� Fau,el--' -- '% 4k-A -0 <br /> SITE ADDRESS: S. // ! j } CITY/ST /ZIPS L �� <br /> CHANGES SITE YES NO TANK / TANK oP— TANK T NK I <br /> FORM A AND/OR B SUBMITTED? COMPUTE COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF IN PE SITE COMPUTER# PER# PER# PER# PER# <br /> }" EXP.DATE EX .DATE EXP.DATE EXP.DATE <br /> OPERTANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> ATIONA A� <br /> WRITTEN MONITORING PROCEDURES 7 18 , <br /> APPROVED MONITORING SYSTEM 9 110 <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 _ T <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 130 —..— <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED 33 134 <br /> SAFETY HAZARD 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 142 <br /> POWER DISCONNECTED 7 43 <br /> OWNER/OPERATOR MONITORING 44 145 <br /> PERMANENT TANK CLOSUREk `� ` <br /> mKvr� <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> PIPING 48 149 <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 /> 57 58 59 <br /> Nu <br /> VIOL..MAJOR MIN❑ VIOL.R LJ VIOL.❑ <br /> OFFICE: INSP: ECEIVED BY: <br /> TITLE-"� 0R t:d PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 O <br />