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UNDERUPOUNI TANK PROGRAM OFFICIAL INSPEr ION REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1501 E HA.ZELTON AVE. <br /> COUNTY NAME STOCK.TON, CA 95205 COUNTY # <br /> PHONE NO 468-3423 <br /> )ITE NAME: -y" , r INSPECTION DATE: <br /> _--- <br /> )ITE ADDRESS: _ <br /> 7� F CITY/STATE/ZIP <br /> 3 1% r q <br /> , y �/ -� <br /> ;RANGES SITE/OWNER/PERMIT. YES NO TANK TANK TANK TANK <br /> .ORM A AND/OR B SUBMITTED? COMPUTER PUTER COMPUTER COMPUTER <br /> NUMBER <br /> YPE OF IN ECTION SITE COMPUTER# �QD0 0 NUMBER NUMBER NUMBER <br /> PER# /�'�(� PER # PER # PER # <br /> EXP-DATE EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <x<r ";'.• `' •1;:�:t . ,�,, <br /> OPERATIONAL TANK �` ,�r, <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 13 114 <br /> MONITORING RECORDS MAINTAINED 15 116 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23>< 24 <br /> i 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 /> ��, Y: /•S}i ti wf h:.¢' •' /.•fy ^1fY'. µyd %Lf G <br /> . _,SI?.Yl�•% i••`S•y.•�t.`,!'l-:'''i .` yi. it. ':i �:•fi='�e,�,'y :�4' v'lf Kv :.i'r`,•YY•Yff:'h:Nf -� <br /> TEMPORARY TANK CLOSURE .s rr n �: ': .; .i 'w � ..s ^ '3. . <br /> µms' iv �y' ssc f x.••' r�Ya- •. o t. t.•y <br /> �5�.•.r ¢ .�r�:Y<�'�$+ .Y'"r• •s.n'�,'•,'..�i�u'�.., •:.•�/•.',,,f���'•:,••..,%'%'�, '°�..,>��5 : <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> s <br /> PERMANENT TANK CLOSURE }. ,%.. ` x'; � *'•>ff ,y <br /> � :,.� •� r'zf. ,<f f y,�,t{�" ,;,�;�< nay y.:„<��'a' :} �s�"��' �?l�"si`+��;'-<-- <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> PIPING 148 149 <br /> .. <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> 'r THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SSYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 ' <br /> MAJOR MINOR NO --�—� --`- <br /> VIOL. VIOL. ❑ VIOL.❑ r- <br /> 101=EiCE: INSP: / RECEIVED BY: <br /> PHONE: BECK: — <br /> TITL �c 2.� ,'1 y`�,� <br />