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UNDERGROUND ''NK PROGRAM OFFICIAL INSPECT )N REPORT O� 7 <br /> A JOAQUIN HEALTH DISTRICT p <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME PHONETONNO, CA. 468-342395205 <br /> 8 34203 COUNTY # <br /> SITE NAME: ( � Lr INSPECTION DATE: <br /> SITE ADDRESS: j �S ! SG�ITY/ TATZIP <br /> E/ Q,) �% 9 7 <br /> CHANGES SITE YES NO TANK 5` TANK TANK 3 TANK Z T13 / <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# i� O PER # f7 NUMBER NU Q BU <br /> K 0� PER# bb PER# � PER#�(J Pt�H <br /> EXP.DAT EXP.DATE EXP.DATE EXP.TATE <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 13 114 _ <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 71 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <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 REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR E]MINOR E] NO <br /> VIOL. VIOL. VIOL.�[]� <br /> C <br /> l J <br /> OFFICE: INSP: RECEIV D BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 <br />