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n 1ANK PROGRAM OFFICIAL uM�F <br /> UNDERGROUN SAN JOAQUIN HEALTH DISTRIC Cp, 95205 COUNTY # 3 ! <br /> 1601 E. OHAZELTON AVE. <br /> I► p�ONE NO. 4613-3423 <br /> COUIRY NAME INSPECTION DATE: 70 <br /> SITE NAME: UQ, (�uNl� ¢ �1, QI <br /> CITY/STATE/ZIP C�. ,2 <br /> SITE ADDRESS: ] f TANK TANK <br /> CHANGES SITE/OWNER/PERMIT YE NO TANK <br /> TANK COMPUTER <br /> FORM A AND/OR B SUBMITTED? NUMBER NUMBER COMPUTER NUMBER <br /> .ps COMPUTER COMPUTER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# <br /> PER# PER# PER# <br /> ^d I EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK 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 <br /> APPROVED MONITORING SYSTEM -- <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 38 139 _ <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 <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING qg qg - <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 S4 --- -- <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) IJa U(Vtu�loNs FOLLOWS: ,A,4 C ,k <br /> dosenre�>( dun rlw>^oa { <br /> Slr 46± clrsco(o , Ofcserve� <br /> MAJOR 57 MINOR 58 NO 69 iti 2rc .}ve.� A i. <br /> VIOL ❑ VIOL ❑ VIOL❑ <br /> OFFICE: INSP. e 14t, RECEIVED BY: <br /> TITLE: r--A/U H S�C PHONE: BECK: <br /> HUT-3 ORIGINAL Brae ©M <br />