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UNDERGROW' TANK PROGRAM OFFICIAL INSP' ,TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICI� <br /> 1601 E. HAZELTON AVE. <br /> CA 5205 <br /> COUNTY NAME PHONET NO. 46893423 COUNTY # c� <br /> "NAME: INSPECTION DATE:S: q& 1 5, CITY/STATE/ZIP Lb�, <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK �J/ TANK O-Z, TANK p 7 TANK <br /> FORM A AND/OR B SUBMITTED? cOMPU R COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER # PER # <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK R MINOR MAJOR MR <br /> R <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 Ll� <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 1 <br /> INVENTORY RECONCILIATION 21 122 1 _ <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 130 39 <br /> FLAMMABLE VAPORS REMOVED W4445 <br /> ACCESS LOCATIONS SEALED 7 <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 52 <br /> SAMPLING 53 54 _ <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST <br /> BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS''/,1-rA-�58 59 . <br /> MAJOR 57 MINOR NO <br /> VIOL. VIOL ❑ VIOL❑ <br /> OFFICE: INSP: REC VED By: i\✓�%�/`/"�-� <br /> �4. J <br /> TITLE: R �, ��, S P NE: BECK: <br /> HUT-3 ORIGINAL ae O <br />