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UNDERGROUMTANK PROGRAM OFFICIAL INS�TION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME ��'n c CL Z�-tti PHONE <br /> ,T_NO. <br /> 468-3423 <br /> ON, CA 205 coulRr # 3 9 <br /> SITE NAME: ERIO eS Q�YtO1z�- ;9s�� CT+ ',�Q- INSPECTION DATE: <br /> �� /` -`��, <br /> SITE ADDRESS: ?V �G'Gt ��F�C CITY/STATE/ZIPS�C-A 4&yl j <br /> CHANGES SITE/OWN/ER/PERMIT? YES NO TANK O/ TANK 6) �- TANK C9 3 TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMP/UTER# PER# PER# PER# PER# <br /> Folic, w / 0 EXP.DATE EXP.DATE EXP.DATE EXP DATE <br /> OPERATIONAL TANK TANK TS R MINOR MAJOR MR <br /> R <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 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 - .--- ---- --- <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS it7l <br /> -- - <br /> PIPING ---- <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE <br /> SAMPLING <br /> IMPROPER ABANDONMENT <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS. <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 8 NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: BYy12 �� <br /> ER IU i F-s c amas { - a <br /> V7 <br /> (Sli <br /> TITLE: PH fV7 t, (A� E� <br /> HUT-3 ORIGINAL J 5/88 01 <br />