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UNDERGROU"� TANK PROGRAM OFFICIAL INSP' 'TION REPORT <br /> .,,,SAN JOAQUIN HEALTH DISTRICIwe <br /> 1601 E. HAZELTON AVE. <br /> CA 5205COUNTY NAME,5� JV Q P ONETNO. 468-93423 COUNTY # <br /> SITE NAME: n� INSPECTION DATE: /'-2`13 <br /> SITE ADDRESS: Z� w" �^ �� CITY/STATE/ZIP.�7� 4 ? <br /> CHANGES SITE/OWNER/PERMIT? YES ANK O/ TANK OZ TANK rv� TANK <br /> FORM AAND/OR B SUBMITTED? A/0 COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> 1 " PR23 I�3- EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK *ARK R MINOR , <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 V <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 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38r43 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 <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 /> MAJOR 57 MINOR 58 59 <br /> NO - <br /> VIOL VIOL ❑ VIOL❑ <br /> 91 <br /> OFFICE: INSP: RECEIVED9- <br /> TITLE 2 PHONE: Rl=CK: (/ <br /> HUT-3 ORIGINAL 5/M 0 <br />