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UNDERGRO#STANK <br /> N JOAQUIN HEALTH D STR SCW REPORT <br /> A <br /> 1601 E. HAZELTON AVE. <br /> 5205 <br /> COUNTY NAME PHONETNO. 4 893423 COUNTY # <br /> SITE NAME: 1� / INSPECTION DATE: <br /> ) S ✓/U Lri/G m � <br /> SITE ADDRESS: 3 O �, CITY/STATE/ZIP <br /> CHANGES SITE/ NER/PERMIT? YES NO TANK / TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER ( COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP OF INSPECTION SITE COMPUTER# PER # PER# PER # PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS - \ <br /> MAJOR MINOR 7 ht <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 RECONCIUATION 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 36 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 --- <br /> POWER DISCONNECTED 43 -- <br /> OWNER/OPERATOR MONITORING 44 45 <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 BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: --- <br /> MAJOR 57 .MINOR 8 NO 59 - <br /> VIOL ❑ VIOL. ❑ VIOL <br /> OFFICE: INSP:: RE EIVED <br /> TITLE: Z /� < HONE: BECK: I <br /> HUT-3 ORIGINAL 5/88 O <br />