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UNDERGROUN NK PROGRAM OFFICIAL INSPE N REPORT <br /> ►N JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZON, C 9 AVE. <br /> COUNTY NAME PHONE NO. CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: �L P, INSPECTION DATE: fz <br /> /O IG� <br /> SITE ADDRESS: 2,oc?'" L (, ��� CITY/STATE/ZIPS 7 3 zo-c <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK ( TANK '?jam TAN O TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUT COMPUTER <br /> TYP OF INSPECTION SITE COMPUTER# NUMBF NUMBS NUMBER NUMBER <br /> iD �� PER#(( PER#L644ifle, I PER# PER# <br /> EXP.DAT EXP. EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> KAJ 'MINOR <br /> PERMIT TO OPERATE 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 r <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 1 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 ABATED37 <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 <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: <br /> 57 58 59 <br /> MAJOR MINOR NO <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP:j,�,/ RE EIVED BY- <br /> TITLE: 4 �/ PHONE: CK: <br /> NUT-3 ORIGINAL 5/88 0m <br />