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UNDERGROUF NK PROGRAM OFFICIAL INSP'_ N REPORT <br /> '"�N JOAQUIN HEALTH O. 468-3423 DISTRICT <br /> (' 1601 E. HAZELTON AVE. <br /> COUNTY NAME e ,-Yyv ' C! PHONE NNO. 46STOCKT96205 <br /> JCOUNTY # 3 �� <br /> SITE NAME: &uh� v <br /> t .}► �Ik INSPECTION DATE: <br /> SITE ADDRESS: '�? Q f 0, cs� L&, IY n CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK ( TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSP�EC�TIOnNjy� SITE COMPUTER# PER# PER # PER# PER# <br /> ►'{�� -�W�"� "�-- EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANKs ,15OL? 'Q <br /> MAJOR <br /> 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 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 <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 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 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 pwx <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS{MUST MARK ONE) FOLLOWS: 4eR, ~ <br /> 57 58 59 <br /> MIINONO <br /> VIOL.MAJOR ❑ VIOL..R ❑ VIOL.❑ <br /> OFFICE: INSP <br /> 1Lt, L r d ✓ ` <br /> TITLEZalIo-,tr, tit- PHONE: �n1 PECK: <br /> Qt l all•;f,L <br /> 51 88 <br />