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-�-"^ UNDERGROUI'- TANK PROGRAM OFFICIAL INSPr-'TION REPORT <br /> �.SAN JOAQUIN HEALTH DISTRICT _ <br /> N AVE. <br /> COUNTY NAME ��ryl ��� 1STOCK ON ECA601 E. 095205 <br /> PHONE NO. 468-3423 COUNTY #3 <br /> SITE NAME: C'� % INSPECTION DATE: Y-a s - <br /> SITE ADDRESS: CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK /'� TANK © TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMP R COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER#, NUMBER NUMBER NUMBER NUMBER <br /> h rnN_ , a PER# PER# PER# PER# <br /> 1 V"c ' EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONnNTs <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> __ <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 '? 50 C'p 14 00o ,/� <br /> APPROVED MONITORING SYSTEM 9 10 /� J CV <br /> MONITORING SYSTEM 11 12 1�b Sr <br /> APPROVED MONITOR FREQUENCY 13 14n /Y� <br /> MONITORING RECORDS MAINTAINED 15 16 !, I ( ' --(/ - <br /> ACCESS CASING CASING SECURED 17 18 - ! o <br /> PIPING 19 20 <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 /> 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 W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 5 <br /> SAMPLING 53 V 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTEDAS <br /> ^ <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: *a 0 ono <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. LJ VIOL. ❑ VIOL.❑ <br /> '0(6n <br /> OFFICE: INS EI BY: <br /> r <br /> TITLE: PHONE: RECK: <br /> HUT-3 ORIGINAL J 51W 0 <br />