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UNDERGROUNC 'ANK PROGRAM OFFICIAL INSPECTION REPORT <br /> >N JOAQUIN HEALTH DISTRICT f <br /> 1601 E. HAZELTON AVE. <br /> CA 205 <br /> COWRY NAME PHONETNO. 468-3423 COUNTY # <br /> SITE NAME: c`C INSPECTION DATE: ^-147eZ <br /> L v <br /> SITE ADDRESS: o5 y CITY/STATE/ZIP �/ 0� <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK r TANK -Z TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OFANSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> [LCJNV /YV EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAJOR 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 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 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 VA <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 ITEMS REPRE ENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: - <br /> 57 8 59 <br /> VIOLOR ❑ VIOL.R ❑ VOL.❑ <br /> OFFICE: INSP, RECEIVED BY: <br /> CC /� c ni <br /> TITLE: //�`��^ ONE: BECK: <br /> HUT-3 /� ORIGINAL sig 0" <br />