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UNDERGROUN K PROGRAM OFFICIAL INSPE! N REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> CA 25 <br /> COUNTY NAME p ONETNO. 468-34203 COUNTY # <br /> SITE NAME: MA2U INSPECTION DATE: 16 �6 <br /> SITE ADDRESS: - S Y/STAT /ZIP _wuA1(� <br /> CHANGES SITE/OWNER/PERMIT. YES NO TANK TANK 'l— TANK ANK <br /> FORM A-AND/OR B SUBMITTED? COMPUTER/o 00 COMPUTER COMPUTER COMPUTER <br /> D <br /> NUMBER NUMBERIQO <br /> TYPE OF INSPECTION SITE COMPUTER# PER# Dl PER#ti�,cr.ddq PER# PER# <br /> V EXP.DATE EXP.DATE P.DATE EXP.DATE <br /> OPERATIO AL TANK T NKCONTENTS <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 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS jj3t7 <br /> UNAUTHORIZED RELEASES REPORTED _-. -- - <br /> SAFETY HAZARD <br /> CONDITIONS ABATED <br /> moommommommow- <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W43 <br /> - <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED _ ......___.___... <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> x <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 -- <br /> FLAMMABLE VAPORS REMOVED 50 __ — <br /> --- <br /> UNAUTHORIZEDRELEASE 51 52 <br /> SAMPLING 53 54 _.__.-----.-- <br /> IMPROPER ABANDONMENT 55 " 56 <br /> THE M R ED ITEMS REPRESENT VIOLATIONS <br /> 'WD MUST BE COPPECTEDjAS ]J-2 <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: r//f" J <br /> F <br /> MAJOR 1 5t <br /> 57 59 <br /> MINOR 58 NO <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: REIVED <br /> TITLE: PHONE: RECK: <br /> HUT-3 <br /> ORIGINAL 5 I d siea OM <br />