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V. <br /> ! . Il <br /> (4-RGROUND TANK OFFICIAL If1SPEC;n0 RT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ! <br /> 445 N.San Joaquin Street II <br /> COUNTY NAME Mailing address: P.C.Box 388 it <br /> $mm 4CA 88 -3-3952 1-0388 p COUNTY # <br /> SITE NAME: �� '' INSPECTION DATE: <br /> I1,2 <br /> IO�.�. �ctA•�-9� + �I <br /> SITE ADDRESS. CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES N TANK TANK AN TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER/,,o5/"0/ NUMBER!6411-62 NUMBER/j;oo-0,3 NUMBER/(400-a51 <br /> { PER # PER a* PER # PER# <br /> EXP.DATE E=XP.GATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TmwtcoKrExts <br /> MAJOR MINOR ,N`, <br /> PERMIT TO OPERATE t 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 w,l fi <br /> APPROVED MONITOR FREQUENCY 13 14 !{ <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> .- <br /> 18 <br /> I <br /> PIPING ACCESS CASING SECURED 19 20 <br /> ...... <br /> INVENTORY RECONCILIATION 21 22 ;1 <br /> TANK GAUGING 23 24 �/ II —'- - --� - -- -- <br /> APPROVED RESPONSE PLAN 25 Y '- '" - •w_._. __. _.__..__._..._._•_-.._ <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 W I, <br /> CONDITIONS ABATED 37 ; <br /> TEMPORARY TANK CLOSURES <br /> REMOVAL OF RESIDUAL 38 39 II <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED <br /> A OWNER/OPERATOR MONITORING 44 45 - _ I <br /> I! ;p <br /> PERMANENT TANK CLOSURE . cx Pft <br /> , /fie: <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE 51 52 <br /> I - it <br /> SAMPLING53 54 If <br /> IMPROPER ABANDONMENT 155 156 <br /> ! THE MARKED ITEMS REPRESENT VIOLATIONS' <br /> AND MUST 8E CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS, I� � {t <br /> � I <br /> MAJOR S7 MINOR 58 NO 59 <br /> VIOL ❑ VIOL VIOL❑ II I� <br /> 1 <br /> t <br /> OFFICE: WSP = RECEI BY: <br /> TITLE:D `j r - PHONE: BECK_ r <br /> I� ' � 1.lt <br /> HUT—.3 ,yhrrF-Or'c}n.:i `!elkw-owners Coov Pink.Mile C=:ov I} h k <br />