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COUNTY NAME <br />ISIT E NAME: <br />AM OFFICIAL INSPEj ON REPORT <br />UNDERGROUNNK PROQR <br />N JOAQUIN 4iEA�L�Ti6olIn DISTRICT COUNTY # <br />PHONE ONO. 46B-93423 INSPECTION DATE:3//L, 1 / q o <br />r;S <br />STATE/ZiP <br />_j__ d <br />SITE ADDRESS: 2 3 3 YES NO TANK <br />CHANGES SITE/OWNER/PERMIT . COMPUTER �, o <br />NUMBER � o <br />FORM AAND/OR R SDRMS,TI�COMPUTE PER # tA.+� L` <br />TYPE OF INSPECTION f r7 EXP DATE <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <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 <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />TANK CONTENTS <br />1 2 <br />3 4 <br />5 6 <br />7 8 <br />9 10 <br />11 12 <br />13 14 <br />15 16 <br />17 18 <br />19 20 <br />21 22 <br />23 24 <br />25 26 <br />27 2B <br />29 30 <br />31 32 <br />33 34 <br />35 36 <br />CITY/ <br />TANK Z,,TANK <br />COMPUTER <br />COMPUTER <br />NUMBER) 0 <br />NUMBER <br />LA IJ (� <br />PER # <br />PER #s" <br />r-xP DATE <br />ls-'�7 <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />EXP. DATE <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />(MUST MARK ONE) <br />46 <br />48 <br />50 <br />F53 <br />58 59 <br />57 MINORNO El <br />MAJOR 2k VIOL. VIOL. � <br />VIOL. <br />47 <br />49 <br />52 <br />54 <br />56 <br />THE MARKED ITEMS <br />VIOLATIONS AND MUSTS dRR�cTED AS <br />RECEIVED BY: <br />INSP: <br />OFFICE:,�. <br />REGK: <br />TITLE: <br />/LTi PHONE: <br />ORIGIPIAL <br />