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r UNDERGROUt-ZANK PROGRAM OFFICIAL INSP ON REPORT <br /> "6AN JOAOUIN HEALTH DISTRIMT <br /> '! 1601 E. HAZELTON AVE. <br /> COUNTY NAME• STOCK205 <br /> PHONE TNO. 468-3423 ON, CA COUNTY # <br /> SITE NAME: INSPECTION DATE: !f l q <br /> SITE ADDRESS: CITY/STATE/ZIP44;tp — <br /> CHANGES SITE/OWNER/PERMIT? YES N TANK TANK TANK 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' EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK coNTeNrs � 77 <br /> MAJOR MINOR ` j a <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 15 116 <br /> ACCESS CASING SECURED 17 18 �- <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 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 l' 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED F, 37 <br /> TEMPORARY TANK CLOSURE �K <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 ' M <br /> _ I <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING' 44 45 Y <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 I <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST PE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) I FOLLOWS: / — <br /> 57 r 58 59 r <br /> MAJOR MINOR NO <br /> VIOL 11 VIOL ❑ VIOL f <br /> I <br /> OFFICE: INSP-j4 tie RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> ORIGINAL 5/88 8M <br />