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UNDERGRr-IND TANK PROGRAM OFFICIAL INPnECTION REPORT <br /> SAN JOAQUIN HEALTH DISTR <br /> 1601 E. HAZELTON AVE. �- <br /> COUNTY NAME STOCKPHONE TNO. 468 ON, CA 3423 COUNTY # <br /> SITE NAME: INSPECTION DATE: <br /> ,tee Al', 9� <br /> SITE ADDRESS: G 73.9 D` CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK Z TANK aS TANK L TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER# PER# PER# PER# <br /> EXP.DATE" .PATE, 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 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 y' <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 :i <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD — <br /> CONDITIONS ABATED FZZ 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 q3 - — --- --- <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 5O — -- ---- _ <br /> UNAUTHORIZED RELEASE 51 52 - --- <br /> SAMPLING r5 54 - --- -- <br /> IMPROPER ABANDONMENT 55 56 <br /> SYSTEM STATUS <br /> THE MARKED ITEMS REPRESENT VIOLATIONS A MUST BE CORRECTED AS <br /> (MUST MARK ONE) FOLLOWS: /06pq/ 7tbe;lf <br /> MAJOR 57 MINOR NO Q <br /> 10, <br /> VIOL. ❑ VIOL ❑ VIOL <br /> i <br /> OFFICE: nINS RE EIVED BY:ONE: RECK: <br /> HUT-3 ORIGINAL <br /> 5/88 'I <br />