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UNDERGROU ANK PROGRAM OFFICIAL INSPE ON REPORT gyp, o F Z <br /> AN JOAQUIN HEALTH DISTRICT 7 <br /> 1601 E. HAZELTON AVE. <br /> CA 95205 <br /> COUNTY NAME PHONETNO. 468-3423 COUNTY # <br /> SITE NAME: 0 G 4-L INSPECTION DATE:3/, E? <br /> SITE ADDRESS: 22 Z N,l�I/ ���(/Q CITY/ 70/ a� c�s- <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TA K TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER <br /> # PER# PER# PER# <br /> 9 <br /> 21� <br /> EXP.DATE EXP.DATE EXP.DATE EXP:DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> E37 <br /> INORPERMIT TO OPERATE 2 CHANGE IN CONDITIONS TO OPERATE 4APPROVED CONSTRUCTION 6WRITTEN MONITORING PROCEDURES 8APPROVED MONITORING SYSTEM 0MONITORING SYSTEM 2APPROVED MONITOR FREQUENCY 4MONITORING RECORDS MAINTAINED 16ACCESS CASING SECURED 18PIPING 0INVENTORY RECONCILIATION 2TANK GAUGING 4APPROVED RESPONSE PLAN 26UNAUTHORIZED RELEASE OCCURRENCE 28SAMPLING 30APPROVED TANK REPAIRS 32 UNAUTHORIZED RELEASES REPORTED 34SAFETY HAZARD 36CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL U4445 <br /> FLAMMABLE VAPORS REMOVED .... _ <br /> ACCESS LOCATIONS SEALED 2 <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 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE COR ECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:58 <br /> MAJOR 57 MINOR NO 59 d <br /> VIOL. ❑ VIOL. ❑ VIOL. / — <br /> Ov� <br /> OFFICE: INSP: L f� DECEIVED BY: <br /> TITLE: PHONE: RECK <br /> HUT-3 ORIGINAL alae 0 <br />