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UNWERGROUND TANK OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.Sen Joaquin Street <br /> COUNTY NAMES Mailing Addreaa: P.0.Box 388 <br /> �/✓l DEL Stocktodsa 342001.0388 CUUNfr # 9 <br /> SITE NAME: R4 0e ` ( - S C�{� ��yL� INSPECTION DATES: -.P-F6 <br /> SITE ADDRESS:zoo f., Et � �J„Q CITY/STATE/ZIP S JOC�`y ✓Sj <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK 1- TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF I S CTION SITE COMPUTER # NUMBER NUMBER NUMBER NUMBER <br /> 1,4NF(� V#L ,231 /3 PER# PER N PER N PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP DATE <br /> OPERATIONAL TANK TANKCONreNi "�{j00 /Dj00 <br /> M0.10R 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 6 <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 16 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 P4 - <br /> ROVED RESPONSE PLAN 25 -;i <br /> — <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 26 <br /> SAMPLING <br /> 29 30 <br /> APPROVED TANK REPAIRS 31 32 _ -_ — - <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> - <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 46 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 /> 57 58 59 <br /> OLOR LJMINOVIO .R LJVNO IOL.❑ — -- <br /> OFFICE: INSP: f RECEIVED BY: <br /> TITLE:S c. RE,4 s . PHONE: RECK: <br /> HUT-3 M.Its-Oricinal Yellow-Owners Copy Pink-File Copy <br />