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UNA..dROUND TANK OFFICIAL INSPECTION REFS <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.Sen Joaquin Street <br /> COUNTY NAMES Mailing Address: P.O.Boz 388 <br /> ASCq 7KStocMo468342001-0388 COUNTY # 2 <br /> SITE NAME: `J <br /> O r M' m INSPECTION DATE: 7— <br /> SITE <br /> SITE ADDRESS: Z Oi1 S7, CITY/STATE/ZIP <br /> �J e <br /> CHANGES SITE YES NO TANK / TANK TANK TANK <br /> FORM RAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPEC ION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> � ,/ # PER#t9b PER# PER# PER # <br /> b EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK"NTENrs � `hL <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 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 <br /> UNAUTHORIZED RELEASES REPORTED j//,E3 *7 <br /> SAFETY HAZARDCONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL I 38 139 <br /> FLAMMABLE VAPORS REMOVED W43 <br /> ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> 7 <br /> RMANENT TANKCLOSUR <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 LJ MINOR 0 NO 59 <br /> ry <br /> VIOL. VIOL. VIOL.LIO <br /> OFFICE: INS F� � •��q RECEIVED BY: <br /> TITLE:,�;f, PHONE: RECK: <br /> HUT-3 White-Original Yellow,Owners Copy Pink-FIB Copv siee O M <br />