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UNDERGROU f TANK PROGRAM OFFICIAL INSPMTION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> CA 95205 <br /> COUNTY NAME PHONETNO. 468 3423 COUNTY # <br /> SITE NAME: -fc4q A P14 <br /> INSPECTION DATE: `711514111 <br /> SITE ADDRESS: /Zj `, �� J) CITY/STATE/ZIP4�.4 <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 INSPECTION SITE COMPUTER# PER# PER# PER # PER# <br /> .DATE EXP.DATE EXP.DATE EXP.DATE <br /> / 7�_Y EXP <br /> OPERATIONAL TANK <br /> TANK co MINOR <br /> IN R <br /> MAJOfl 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 /> SAMPUNG 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED P37 <br /> SAFETY HAZARD <br /> CONDITIONS ABATED ;I <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL -- <br /> FLAMMABLE VAPORS REMOVED 40 -- <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED --- <br /> OWNERlOPERATOR 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 56 <br /> -7 .77 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: P46IF <br /> MAJOR 57 <br /> MINOR 58 59 <br /> 0 <br /> VIOL LJ VIOL. VIOL. <br /> OFFICE: INSP; AeIG RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL siae O <br />