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Z <br /> UNDERGROW-P- wTANK PROGRAM OFFICIAL INSP `TION REPORT f 4 <br /> AN JOAQUIN HEALTH DISTRICT { <br /> 1601 E. HAZELTON AVE. ill <br /> COUNTY NAME P ONSTOCKTONE NO.4CA 68-3423 5205 COUNTY # <br /> SITE NAME: � A i INSPECTION DATE: 3 a <br /> SITE ADDRESS: 3 S ..57 7� Y/STATE/ZI <br /> CHANGES SITE/OWNER/PERMIT? YES NO TAKK TANK `I j TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTED COMPUTER 'I COMPUTER COMPUTER <br /> COMPUTE NUMBER NUMBER} NUMBER NUMBER <br /> TYPE OF INSPECTION SITEI <br /> &) PER # PER# it i, PER# PER# <br /> EXP,DATE EXP.DATE ;� EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK <br /> MAJOR MINORC <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 - <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 6 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 j I <br /> ACCESS CASING SECURED 17 18 k <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 It <br /> TANK GAUGING 23 24 } j' <br /> APPROVED RESPONSE PLAN 25 26 - I} <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 - ¢ -�--- - <br /> APPROVED TANK REPAIRS 31 32 - <br /> UNAUTHORIZED RELEASES REPORTED 33 34 P I <br /> SAFETY HAZARD 35 36 4 I <br /> CONDITIONS ABATED 37 <br /> 4wk <br /> If <br /> TEMPORARY TANK CLOSURERA <br /> -� e __.rx.r 3.a�'s�. M1 F ,3°+C:;,�. ru. x! _x:�d,:T S ; .��•``s, g vY•s`3':�a ,wX n"*4 <br /> REMOVAL OF RESIDUAL 38 39 ` <br /> FLAMMABLE VAPORS REMOVED 40 :; ;k <br /> ACCESS LOCATIONS SEALED 41 42 iI I <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 t p <br /> Ssw <br /> PERMANENT TANK CLOSURE ` fell <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 3 iM <br /> PIPING 48 49 i <br /> FLAMMABLE VAPORS REMOVED 50 I <br /> UNAUTHORIZED RELEASE 51 52 M <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) <br />_ FOLLOWS: <br /> It ' <br /> MAJOR 57 MINOR 5859 <br /> NO � <br /> VIOL ❑ VIOL. ❑ VIOL.. i� F 11/L <br /> OFFICE: INSP- RECEIVED BY: iy <br /> _ 6 <br /> TITLE: /�s PHONE: 1f BECK: <br /> HUT-3 ORIGINAL - i! 5/88 5 <br />