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UNDERGROUNDi PROGRAM OFFICIAL INSPECREPORT <br /> OAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> STOCN, CA COUNTY NAME P ONE NO. 468 34213 COUNTY # <br /> SITE NAME: Co Lo m INSPECTION DATE: j_... <br /> SITE ADDRESS: I­o`j ITY/STATEfZIPS- 4:70oj 6461 ' 75 <br /> CHANGES SITE/OWNER/PERMIT? YES NO/TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER �.�r COMPUT COMPUTER COMPUTER <br /> NUMB 0 i•(fJ��"� NUMBE NUMBER NUMBER <br /> TYP OF INSPECTION SITE COMPUTER# PER# Q I PER# PER# PER# <br /> q EXP DATE EXP DATE EXP DATE EXP.DATE <br /> OPERATIONAL TANK IA <br /> NK coniTENTs � <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 $ <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 �- <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 55 56 <br /> THE MARKED ITEMS REPREISENT V[qLATIONS AND MUST BE RRECTED AS <br /> 1 SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> I" <br /> MAJOR 57 59 MINOR 58 NO <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> F Oil <br /> F <br /> OFFICE: INSP: RECEIV BY: <br /> TITLE: / P NE: RECK: <br /> 5l8� O N <br /> HUT-3 ORIGINAL <br />