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UNDERGROU6' TANK PROGRAM OFFICIAL INSP ION REPORT <br /> WAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZFLTON AVE. <br /> COUNTY NAME'j� j a C SHONE NO CA -3423 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: S j, D� INSPECTION DATE: <br /> SITE ADDRESS: pia <br /> r�+✓� CITY/STATE/ZIP j �L <br /> CHANGES SITE/ T? YES X10 TANK h TANK OZ- TANK 03 TANK 63 /1) <br /> FORM A AND/OCBSUBMITTE (p COMPUTE COMPUTER Q COMPUTER COMPUTER ,y <br /> NUMBER n NUMBER�L,Y,`or tl�� NUMBER S NUMBER! � `j,{A' <br /> TY OF INSPECTIO ITE COMPUTER# PER # KIT PER# PER # PER #oil <br /> / EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS .i <br /> MAJOR r MINOR _ <br /> PERMIT TO OPERATE1 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 <br /> PIPING 19 2Q <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 38 39 - <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 S7VIOL. <br /> UST MARK ONE) FOLLOWS: <br /> MAJOR MINOR 58 NO 59 <br /> VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP. ' (Bole - RECEIVED BY: I <br /> TITLE�� �JY ✓SLG PHONE: BECK: <br /> HUT-3 ORIGINAL G��-`' 5/88 CP7+� <br />