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UNDERGROUTANK PROGRAM OFFICIAL INSPEMON REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> CA 95205COUNTY NAME PHONETNO. 468-3423 CUUNTY # 3 <br /> SITE NAME: Lu urrr 5 c.Lt tLr�/ /e"r5 INSPECTION DATE: s_ <br /> SITE ADDRESS: CITY/STATE/ZIP TfZ�c <br /> /tgo va/ <cv <br /> CHANGES SITE/OWNER/PERMIT. YES NO TANK TANK TANK TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# I y73-0 PER# PER# PER# <br /> -50Wpy 'Avco 3 EXP DATE EXP.DATE EXP DATE EXP.DATE <br /> OPERATIONAL TANK TANK coN <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 <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 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 _.. _ _.. ... <br /> ACCESS LOCATIONS SEALED 41 42POWER DISCONNECTED -_ -.--.-.- <br /> OWNER/OPERATOR MONITORING 144 45 <br /> PERMANENT TANK CLOSURE i4l' a;. <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 'Vl _-,�----- <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS - <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: d4l sfp;/57 58 59 <br /> in <br /> MAJOR MINOR NO ` <br /> VIOL VIOL. VIOL. s od TX� <br /> i <br /> OFFICE: INSP: G/ ��/ pZ RECEIVED BY: <br /> TITLE: sT PHONE: BECK: <br /> 5/88 <br /> HUT-3 ORIGINAL <br />