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UNL._riGROUND TANK OFFICIAL INSPECTION RE iT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.San Joaquin Street <br /> COUNTS NAME Mailing <br /> 9 201 038888 <br /> 468-3420 COUNTY #--3 12 <br /> SITE NAME: INSPECTION DATE <br /> SITE ADDRESS: �' ��C <br /> CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? ENK TANK -7 TANKTANKFORM A AND/OR B SUBMITTED? OMPUTER COMPUTER COMPUTE COMPUTER! <br /> TYPE OF INSP CTION SITE COMPUTER NUMBER NUMBER NUMBER NUMBER <br /> � � /# PER # PER # PER # PER # <br /> DZ 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 9 110 <br /> MONITORING SYSTEM 11 112 <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 <br /> TEMPORARY TANK CLOSURE a�0� �� <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED M 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 VI LATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:57 58 59 <br /> MAJOR ❑ MINOR ❑ NO <br /> VOL.❑ — --- —- -- <br /> VIOL. <br /> VIOL. <br /> OF I INSP: RE ED Y: <br /> TITLE: � /� PHONE: 2? RECK: <br /> HUT-3 White-White -t6 Yellow-Owner's Copy Pink-File Copv L/� <br />