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"GROUND TANK OFFICIAL INSPECTION AART <br /> SAN JOAQUIN PUBUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 44S N.Son Joagwn Sftm <br /> colwT NAME �Scoadon CA as201� <br /> 188-3420Y# <br /> SITE NAME. uvlo_6'� --t'o Y moi' INSPECTION DATE: <br /> SITE ADDRESS: CITY/STATE/Zip -`- <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK r TANK TANK TANK .4 <br /> ORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> PER#► PER#F PER* PER* <br /> C c, �3 I�t'R EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK <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 /> MNG SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINMU ED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> UPMC GAUGING 23 24 <br /> APPROVED RESPONSE PLAN _ 28 > <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 35 <br /> ... ...... . <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 / <br /> _ !/ _ ✓ <br /> FLAMMABLE VAPORS REMOVED IQ <br /> ACCESS LOCATIONS SEALED 41 42 ._ <br /> POWER DISCONNECTED 43 !� <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE a4. <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE WORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 58 <br /> THE MARKED ITEMS REPRESENT VKXATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> VIOL a � a � o <br /> . <br /> OFFICE: INSP RECEIVED BY: ,� �- � <br /> TITLE PHONE: BECK: <br /> HUT-3 Whft-Orlginel YeNow-Owner's COPY Plr*-File Ccov , <br />