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UNDERGROI" '.n TANK PROGRAM OFFICIAL INSP�rTION REPORT <br /> SAN JOAOUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> CA <br /> COUNTY NAME PHO ETON NO. 468-34203, COUNTY # <br /> SITE NAME: INSPECTION DATE: <br /> SITE ADDRESS: 8 7S/ `. ��d /12, CITY/STATE/ZIP �lG j� / CO- <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM RAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER' <br /> TYPE OF INSPECTION SITE COMPUTER# PER# ! f _U I PER# PER# PER# <br /> Arunlc <br /> EXP DATE EXP DATE EXP DATE EXP.DATE <br /> t as4 e' , <br /> OPERATIONAL TANK <br /> TANK conMrrrs , . � <br /> MAJOR MITlOR x `, v , tq15 <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 16 � <br /> ACCESS CASING SECURED 17 18 %�(�� <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 u <br /> TANK GAUGING 23 24 ;vl <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 /> '�"n"•t 's � } '� -' "ro§bt i � ap-t.. � ^� �u� -Y',ix ° 3:3e.- r y,-',n't-aa.�+'^'¢C-.� , <br /> TEMPORARY TANK CLOSURE ; <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE � a'' ` NO <br /> REMOVAL O I UAL MATERIALS 46 47 _ <br /> PIPING 48 49 <br /> I FLAMMABLE VAPORS REMOVED 50 _ T <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: 4,4 <br /> 57 �S SOih.P Lt �rJC�-t C7�Cl] <br /> MAJOR MINOR ❑ NO 5� S Cvi �.,�_ �¢� v{ o is !^E' U7� d s�rlrizi�r <br /> I" VIOL. VIOL. <br /> VIOL. <br /> r <br /> OFFICE: INSP: J `a�' p Z, RECEIVED BY: <br /> TITLE: �Q,�,/��s PHONE: RECK: <br /> r <br /> HUT-3 ORIGINAL r sees <br />� it <br />