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UNDERGROUND `kNK PROGRAM OFFICIAL INSPECT")N REPORT <br /> ,_�V JOAQUIN HEALTH DISTRICT 1 <br /> 1601 E. HAZELTON AVE. 17 <br /> CA 5205 <br /> COUNTY NAME PHONETNO. 46893423 COUNTY # 3 <br /> SITE NAME: ��jp(,(�DUJ of ��j INSPECTION DATE: ' '2 <br /> SITE ADDRESS: I / L CIT ATE/ZIP / C�/�' G� ^3 76 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK G� �Y TAN TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NU ERI 0 NUMBER NUMBER NUMBER <br /> TYPE OF NSPEC ON SITE COMPUTER# PER# p(l GS� PER# PER# PER# <br /> AQ�I✓� r I EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> NTS <br /> OPERATIONAL TANK TANK N <br /> MAJORR 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 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 - <br /> MONITORING RECORDS MAINTAINED :15N16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 --- <br /> INVENTORY RECONCILIATION LlX 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 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITE S REPRESENT VIOLATIONS AND MUST BE CORRECTED <br /> SYSTEM STATUS(MUST MARK ONE) FOLL Q-eG(S!CW �L 47/ <br /> 193� /e.¢a L`o..J -.4+C5 ✓ ce!i-&W <br /> MAJOR [[577� MINOR 58 NO 59 N 6 <br /> VIOL �F— VIOL. ❑ VIOL❑ D Li ✓ <br /> OFFICE: INSP:/,//f Rr=CEIVED BY: <br /> x Q at - 31eZ <br /> TITLE: 77Fs PHONE 1 RECK: <br /> HUT-3 ORIGINAL <br />