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UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> J JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. V 7� <br /> COUNTY NAME STOCKP ONETON, CA 93423 5205 COUNTY # Z! <br /> SITE NAME: dt6ot INSPECTION DATE: �3 <br /> SITE ADDRESS: • U CITY/STATE/ZIPC � <br /> CHANGES SITE/OWNER/PERMI Y YES NO TANK 1 TANK TANK TANK <br /> FORM A AND/OR B SUBMITTE COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> EXP.DATE EXP.DATE EXP,DATE EXP,DATE <br /> OPERATIONAL TANK TANK CONTENTS 1. <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 9 110 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 122 <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 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED IM 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED M 43 -" <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS{MUST MARK ONE} FOLLOWS: <br /> MAJOR 57 58 No 59 <br /> OL. ❑ MOOR ❑ VOL.❑ <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLES PHONE: BECK: <br /> HUT-3 ORIGINAL <br />