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UNDERGROUI&TANK PROGRAM OFFICIAL INSP ION REPORT <br /> USAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVESTOCKTON, CA 525. <br /> COUNTY NAME V PHONE NO. 4 893423 COUNTYMq <br /> SITE NAME: AV U i INSPECTION DATE: <br /> SITE ADDRESS: A-, CITY/STATE/ZIP <br /> CHANGES SITE/OWNE /PERMIT? YES NO ~TANK TANK �j TANK G� TANK <br /> FORM RAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER # PER # <br /> 11(f EXP.DATE EXP.DATE EXP ATE EXP ATE <br /> OPERATIONAL TANK TA- MINOR <br /> N R <br /> MAJOR OR 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 1 _. <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 VX,1, 37 VA <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL e45 <br /> _.._ <br /> FLAMMABLE VAPORS REMOVED .. ---.-- <br /> ACCESS LOCATIONS SEALED _ <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 15677 <br /> PIPING 48 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 SAMPLING 53 IMPROPER ABANDONMENT 55 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: �+� <br /> ID- <br /> 5 <br /> MAJOR 57 MINOR 58 NO <br /> VIOL. ❑ VIOL. ❑ VIOL <br /> OFFICE: INSP:/ RECEIVED BY: <br /> TITLE: Pt-57-/S PHONE: BECK: <br /> 5/88 ©, <br /> HUT-3 ORIGINAL <br />