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.---1 .,,.a�«'a�.ta-=m--^fir-pY•. gw+.r%G`� <br /> UNDERCROU mqANK PROGRAM OFFICIAL IN r 4N DEPORT <br /> SAN JOAQUIN HEALTff DISTRI, <br /> e' 1601 E. HA <br /> 4ELTOIJ AVE. <br /> COUNTY NAME STOCKTON, CA -520 COUNTY NAMES;,- PHONE NO. 468- 423 <br /> SITE NAME: ' INSPCTfON DATE <br /> SITE ADDRESS:. / r CITY/sTATTI�IP;:y <br /> CHANGES SITE/OWNER/PER IT? YES N TANK TANK TANK TANK' <br /> FORM A AND/OR B SUj3MITTED?,�.f/ „, cn�PtrrE� coMPUTFR'r x F COMPUTER COMPUTER <br /> NUMRE NUlABEA NUhiIBEF� NUMBER <br /> PE OF INSPECTION ' J SITE COMPUTER# , <br /> PER i PER+! s PER PEA# , <br /> h�[a EXP.DATE EXP.DATE '' EXP.DATE EXP,DATE <br /> OPE TIONAI! TANy TANK C NITNTS <br /> MAJOR MINOR il <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE <br /> APPROVED CONSTRUCTION 5` 6 r <br /> WRITTEN MONITORING PROCEDURES 7 *. <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' 120 <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 /> i APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33' 34 - <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 - <br /> TEMPORARY TANK CLOSURE <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 "44145 17 <br /> PERMANENT TANK CLOSURE <br /> W�L: <br /> REMOVAL OF RESIDUAL MATERIALS 46 <br /> 47 <br /> PIPING 48 ' 49 " <br /> FLAMMABLE VAPORS REMOVE_ D 50 <br /> UNAUTHORIZED RELEASE 51 _. 52 <br /> SAMPLING 63 54 <br /> IMPROPER ABANDONMENT <br /> 55 56 <br /> THE MARKED FTE" REPRESENT V1.01 ATIONS PM T BE GQRRECTEp AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLL58 <br /> #' <br /> MAJOR 57 MINOR ❑ NO 5g <br /> VIOL. LJVIOL. VIOL.tfj <br /> OFFICE: INSP j RE EIVED BY; <br /> TITLE:P P NE: BECK: <br /> HUT-3 _ <br /> ORIGINAL z .+ � �'�.;r s �i;'° � . . 6/ea ©- <br />