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UNDERGROU "ANK PROGRAM OFFICIAL INSF'-' -ION REPORT <br /> _ oAN JOAQUIN HEALTH DISTRIC-. - <br /> 1601 E. HAZELTON AVECA 5205 <br /> . „ <br /> COUNTY NAME P ONETNO. 468-93423 COUNTY #�J <br /> SITE NAME: d�t(PM, a4tb <br /> :NE <br /> ON DATE: 9 7 <br /> SITE ADDRESS:��S CLA'4 4.') CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK v(- TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMP TEaR/# PER# PER# PER# <br /> EXP.DATE EXPDATE EXP.DATE <br /> OPERATIONAL TANK 1ANK RTIMICONTENTSIR <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 _.APPROVED MONITORING SYSTEM 9 10MONITORING SYSTEM 11 12APPROVED 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 - <br /> --- <br /> TANKGAUGING 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 W4445 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 REPRES VIC)LATIO%AND MUST,BE CORR CTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 <br /> MAJOR MINOR NO 59 WH,d <br /> VIOL. VIOL VIOL <br /> OFFICE: INSP: s' RECEIVED BY: <br /> TITLE: PONE: RECK: <br /> HUT-3 /ORIGINAL siaa O, <br />