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UNDERGROUN�NK PROGRAM OFFICIAL INSPEJWON REPORT <br /> N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> CA 95205 <br /> COUNTY NAME PHONETNO. 468-3423 COUNTY # 3 <br /> SITE NAME: J /�1 L ,5 ,�j�(� INSPECTION DATE: 2/yam <br /> SITE ADDRESS: D� ��-O G ZNn/`F �QQ CITY/STATE/Z (� 953.76 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER/a/C716 COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # 1 EL PER# PER # PER# <br /> b ' EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> NTENTS <br /> OPERATIONAL TANK TANK R MINOR <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 1 <br /> APPROVED RESPONSE PLAN K37 <br /> _. <br /> UNAUTHORIZED RELEASE OCCURRENCE <br /> SAMPLING <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED SAFETY HAZARD CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 r43 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 <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 /> SAMPUNG 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT V OLATIONS AND MUS BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOL OWS: <br /> MAJOR 57 MINOR 58 59 <br /> NO � <br /> VIOL. ❑ VIOL ❑ VIOL. e-o <br /> ol <br /> Al <br /> OFFICE: INSP: Zil� EIVE <br /> TITLE:� s P NE: RECK: <br /> HUT-3 ORIGINAL alae <br />