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UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br /> WSAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMEifl <br /> A-0 " i{G'I/� PHONE NO. 468 3423 COUNTY # J <br /> SITE NAME: Ua'n o ct <br /> O6_ INSPECTION DATE: <br /> SITE ADDRESS: 2 _5 g C � &,cLO C @CITY/STATE/ZIP C (� 09 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK n TANK TANK r\ TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTED COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE <br /> �O1 FnI,N��SP�EC�TIO/N SITE COMPUTER# PER# PER# PER# PER# <br /> Y///(/I/[7� / �S EXP_DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <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 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 16 �L7 - <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 120 - <br /> INVENTORY RECONCILIATION 21 122 <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 W43 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 <br /> NO <br /> VIOLOR ❑ VIOLL..R ❑ VIOL.❑ <br /> OFFICE: INSP:y . RECEIVED BY: <br /> TITLE: HONE: RECK: <br /> HUT-3 ORI INAL 5/86 ©, <br />