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UNDERGROU TANK PROGRAM OFFICIAL INSPE TION REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: _ / I INSPECTION DATE: - <br /> SITE ADDRESS: / /3 y / CITY/STATE/ZIP / <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK TANK 7� TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER # PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP,DATE EXP.DATE <br /> OPERATIONAL TANK Tn""c° r,T$ <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 9 110 <br /> MONITORING SYSTEM 11 112 <br /> APPROVED MONITOR FREQUENCY 13 114 <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 t9S� <br /> APPROVED RESPONSE PLAN 25 26 Sz-&2-( <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 135 136 <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 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 — <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEM REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUST MARK ONE) FOLLOWS: �. <br /> MAJOR 5S( MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL,❑ <br /> OFFICE: INSP: RECEIVED <br /> TITLE: PHON : BECK: <br /> R ORIGINAL +IKAn-S, 5/88 OM <br />