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UNDERGRO"v TANK PROGRAM OFFICIAL IN TION REPORT <br />SAN JOAQUIN HEALTH DISTRI <br />1601 E. HAZELTON AVE. <br />COUNTY NAME ay() d---0 cpee.--yr.D PHONE NO. 468-3423 <br />STOCKTON, CA 95205 <br />SITE NAME: etri/tAttge_. yiii.,(3tr<c) <br />SITE ADDRESS: cs:R /t) <br />CHANGES SITE/OWNER;PERMIT? <br />FORM A AND/OR B SUBMITTED'? <br />YES NO TANK <br />COM ER <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK <br />COMP* <br />NUMBER <br />PER # <br />EXP. DATE <br />TANK '7 <br />COMPUTER <br />NUMBER <br />PER # <br />EXP,_ , J. <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />TYPE OF INSPECTION r o w7-1. p_Q__ <br />SITE COMPUTER <br />3 I 3 <br /># <br />L f.- o <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPUNG <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED .7 <br />TANK CONTENTS b .e ae,...L' .A U. 4— <br />/ OyPAti) <br />. ..41x. „ <br />DATE/ <br />'-'42-r-calF6. <br />( 0101!) 0 11-47 — aje.... MAJOR MINOR ' / a (MI ceM <br />1 2 / <br />4 3 <br />5 6 <br />7 8 <br />9 10 <br />11 12 st/2. <br />13 14 <br />15 16 <br />17 18 <br />19 20 <br />21 22 <br />23 24 <br />25 26 <br />27 28 <br />29 30 <br />31 32 <br />33 34 <br />35 36 <br />W 37 <br />COUNTY #3 <br />INSPECTION DATE: <br />CITY/STATE/ZIP clidc-41 (.24., 5c-Z, <br />38 39 <br />413 rZA <br />42 41 <br />V 43 <br />44 45 <br />46 47 <br />48 49 <br />50 <br />51 52 <br />53 54 <br />55 56 <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 />SYSTEM STATUS (MUST MARK ONE) <br />58 59 MINOR 7 NO (—I <br />VIOL. VIOL. LI <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS' <br />MAJOR <br />VIOL. <br />OFFICE: INSP. <br />TITLE5/Vct EH <br />RECEIVED BY: <br />'7 ate <br />PHONE: ECK: <br />HUT-3 ORIGINAL 5/38 LT_