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UNDERGROUV r kNK PROGRAM OFFICIAL INSPF"'IN REPORT <br /> N JOAQUIN HEALTH DISTRICT o r _ <br /> 1601 E. HAZELTON AVE. <br /> 205 <br /> COUNTY NAME PHONETONNO. 468-3423 COUNTY # <br /> SITE NAME: 5 A,/ .�fer� INSPECTION DATE: <br /> ��` <br /> SITE ADDRESS: / ,Q CITY/STATE/ZIP G�e I x,374 <br /> CHANGES SITE/OWNER/PERMIT? YES , NO TANK 1 TANK � TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER ]' NUMBER5y NUMBER NUMBER <br /> TYPE OF <br /> INSPECTION SITE COMPUTER# PER# 1411 PER# �/ PER# PER# <br /> EXP.DATE EXP.DATE t/' EXP DATE EXP DATE <br /> TANK CONTENT1,09 <br /> S <br /> MAJOR " <br /> OPERATIONAL TANK ` <br /> MINOR " <br /> PERMIT TO OPERATE 1 12 --- <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 _ <br /> APPROVED CONSTRUCTION 5 16 <br /> WRITTEN MONITORING PROCEDURES 7 18 _ <br /> APPROVED MONITORING SYSTEM 9 110 <br /> MONITORING SYSTEM 11 112 <br /> APPROVED MONITOR FREQUENCY 13 114 <br /> MONITORING RECORDS MAINTAINED 15 16 v <br /> i <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 35 136 <br /> CONDITIONS ABATED 37 <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 /> r <br /> 57 58 59 <br /> MAJOR MINOR NO (qi;;; <br /> VIOL. ❑ VIOL. ❑ VIOL.LN <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: V PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 0 <br />