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UNDERGRC '7 TAI%,iPROGRRM OFFICIAL 1W, -CTIOv REPORT <br /> SAN JOAQUIN HEALTH DISTRJCw,i <br /> 1601 E. HAZELTON AVE. <br /> CA 525 <br /> COUNTY NAME PHONETNO. 46893423 COUNTY # <br /> SITE NAME: <br /> INSPECTION DATE: <br /> fJu{v meiSfCr' <br /> SITE ADDRESS: a 7 3 S N /ec e c l�Y. CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM RAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION TE C MPUTER# PER# O I PER# PER# PER# <br /> �Qoa ;?S 6, EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CO 15 <br /> MAJO INOR <br /> PERMIT TO OPERATE 1 <br /> CHANGE IN CONDITIONS TO OPERATE 3 V 4 <br /> APPROVED CONSTRUCTION 5 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 0 <br /> MONITORING SYSTEM 11 ^ G� <br /> APPROVED MONITOR FREQUENCY 13 4 '10(' U ', <br /> MONITORING RECORDS MAINTAINED 15 16 Off. <br /> ACCESS CASING SECURED 17 18 LJ V% -�-- <br /> PIPING 19 20 ----- <br /> INVENTORY RECONCILIATION 21 22 - -- <br /> TANK GAUGING K37 <br /> - --- <br /> APPROVED RESPONSE PLAN _- <br /> UNAUTHORIZED RELEASE OCCURRENCE <br /> SAMPLING <br /> APPROVED TANK REPAIRS .. <br /> UNAUTHORIZED RELEASES REPORTED _... <br /> SAFETY HAZARD <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38r42 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41POWER 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 /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 1 LL <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: d <br /> MINOR 58 <br /> S <br /> MAJOR 57 NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ 14 <br /> OFFICE: INSP: REC D BY: <br /> TITLE: 4 PRONE: BECK: <br /> HUT-3 ORIGINAL sig OM <br />