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UNDERGROUND T4NK PROGRAM OFFICIAL INSPEC-e)N REPORT <br /> ,.N JOAQUIN HEALTH DISTRICT i <br /> 1601 E. HAZELTON AVE. 9 <br /> COUNTY NAME PHONET NO. 468934203 COUNTY # / <br /> SITE NAME: 6--j 61f-rjz) ) INSPECTION DATE: Z-2—cu <br /> SITE ADDRESS: /STATE/ZIPS <br /> CHANGES SITE NER/PERMIT? YES NO TANK {_yfTn TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUT i�i'p COMPUTER COMPUTER COMPUTER <br /> NUMBE (/jJ NUMBER NUMBER NUMBER <br /> TYPE OE INSP CTION SITE COMPUTER# PER # � PER# PER# PER# <br /> L✓ <br /> *f7 /3 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK Jc oNreN <br /> MAAJORRMINOR <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 <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 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 131 132 <br /> UNAUTHORIZED RELEASES REPORTED <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 VA <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 _ <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED M 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. ❑ VIOL ❑ VIOL. <br /> OFFICE: INSP REC ED Y: <br /> v <br /> a A�� <br /> 6 03 6 TITLE:S� p / BECK: <br /> HUT-3 ORIGINAL (' siae O� <br />