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UNDERGROUND '4NK PROGRAM OFFICIAL INSPECTION REPORT <br /> .AN JOAQUIN HEALTH DISTRICT `,/ <br /> 1601 E. HAZELTON AVE. <br /> 205 <br /> COUNTY NAME PHONETNO. 468-3423 COUNTY # <br /> SITE NAME: CollG l <br /> . INSPECTION DATE: <br /> lw <br /> SITE ADDRESS: SZ�� ruRStJ k CITY/STATE/ZIP of <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK a ( TANK DZ TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 4 LAo i&-O EXP.DATE EXP-DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS nn <br /> MAJOR MINOR '-.I��' : .<,.Kt Sn D <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 x >C <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 HAZARD35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL IqQ 139 <br /> FLAMMABLE VAPORS REMOVED W43 <br /> ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> 7 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 ...._.__._.._.__._. <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARRED ITEMS REPRESE VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 58 MAJOR 57 MINOR NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP- RECEIVED BY: <br /> 41/C <br /> TITLE: //S PHONE: RECK: <br /> HUT-3 ORIGINAL <br />