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UNDERGROU TANK PROGRAM OFFICIAL INS P ^TION REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> CA 5206 <br /> COUNTY NAME S^ I PHONETNO. 46893423 COUNTY #3 <br /> .xin+ uL271 (N <br /> SITE NAME: INSPECTION DATE: /D <br /> JJUQ <br /> 40 <br /> SITE ADDRESS: CITY/STATE/ZIP F�-P,jcl.\, Cam CA 5231 <br /> CHANGES SITE/OWNER/PERMIT? YE NO TANK I TANK TANK TANK MP <br /> ER <br /> FORM A AND/OR B SUBMITTED? NUUMBERER NUMBER COMPUTER NUUMBERER NUMBER <br /> TYPE OF INSIIPECTION SITE COOMPrUTER# PER # PER# PER# PER# <br /> N ICWO l/ 23/7N EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> MI <br /> OPERATIONAL TANK TANK co MNrs <br /> MAJOR NOR <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 P45 <br /> 39 -___.-_-__— - ---- <br /> FLAMMABLE VAPORS REMOVED -. -- <br /> ACCESS LOCATIONS SEALED 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING <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 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST IBE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE)N6 VIOµ'f1o�5 FOLLOWS: d 7P5 e. *i k �^ I <br /> o65eNec4 cfuri- -heave o} t'evra"LI . -'id curlct,�r )e n� urs <br /> 57 58 59 <br /> VIOL VIOL <br /> MAJOR ❑ MINOR <br /> ❑ NO <br /> VOL❑ 'fAti a I 2 r - O <br /> �dCL CP fp- I ! e <br /> OFFICE: INSP: r r RECEIVED BY: <br /> TITLE: C, .S PHONE: RECK: <br /> 5/88 ©M <br /> HUT-3 ORIGINAL <br />