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UNDERGROU ' TANK PROGRAM OFFICIAL INSP ION REPORT <br /> ISAN JOAQUIN 'HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME P ONE ONO. 4689343 COUNTY # <br /> SITE NAME: Vl %dna INSPECTION DATE: f <br /> SITE ADDRESS: ,1 CITY/STATE/ZIP <br /> meno R <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK d TANK b Z TANK © "S TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER # PER # <br /> al Q EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <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 1 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM ll>( 112 <br /> APPROVED MONITOR FREQUENCY 13 J14 <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 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED f45 <br /> OWNER/OPERATOR MONITORING 44 <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 155 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> ee <br /> 57 59 <br /> MAJOR MINOR 58 NO <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP-. 2 RECEIVED BY: <br /> -ozv As'�41/,-/ �Y �l <br /> TITLE: C k 1 S PHONE: BECK: <br /> HUT-3 __.ORIGINAL 5/88 Om <br />