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UNDERGROL" TANK PROGRAM OFFICIAL INSF' - TION REPORT <br /> *{-SAN JOAQUIN HEALTH DISTRIG"*--' <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMESTOCKTON, CA 95205 COUNTY # 3 <br /> S(Zr✓ 04 PHONE NO. 468-3423 <br /> SITE NAME: co gac-4 Iva t tor-6 INSPECTION DATE: <br /> SITE ADDRESS: em.-7 r. ku o CITY/STATE/ZIP S�017k-222ti <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK -7 TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBEfVgC NUMBERr � NUMBER NUMBER <br /> PER# �iKC� PER# /r PER# PER # <br /> EXP.DATE EXP.DATE d/ 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 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONfTORING 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 2 i 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 E37�Q <br /> SAFETY HAZARDCONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED43E] <br /> OWNER/OPERATOR MONITORING 4445 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 �v <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VI LATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) 61104hoA/S FOLjOWS. 42 <br /> o6seww dar reH+a�tx! C. .� <br /> 57 58 59OML - - - - --- <br /> MAJOR 111NO <br /> OL. ❑ VIOL..R ❑ VOL.❑ - - - ---- -- <br /> OFFICE: INSP� RECEIVED BY <br /> TITLE: S P!-LONE: ��- � BECK. <br /> HUT-3 ORIGINAL <br />