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UNDERGROU► TANK PROGRAM OFFICIAL INSP" 'TION REPORT <br /> wSAN JOAQUIN HEALTH DISTRICT, <br /> y- <br /> 1601� � 1601 E. HAZELTON AVE. <br /> COUNTY NAME cX 6Vt PHONE NO. 468 3423 COUNTY # <br /> ��"+` <br /> SITE NAME: co D � � s G��� �0 INSPECTION DATE: <br /> SITE ADDRESS: `^1& 0 3 S � s��Ce CITY/STATE/ZIP sftjl (,4 9saa y <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK 3 TANK TANK S <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTE p� COMPUTER <br /> TYPE O�F�INSPECTION SITE COMPUTER# NUMBER f Q g NUMBER 10 I NUMBER 10 NUMBER <br /> O J O <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAJORIMOR <br /> 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 17 118 1 _ <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 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <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 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: -S <br /> MAJOR MINOR NO <br /> VIOL VIOL VIOL. <br /> OFFICE: INSP RECEIVED BY: <br /> TITLE:cSa4l1 4a-44 444 / PHONE: RECK: <br /> HUT-3 ORIGINAL sires G" <br />