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;,,,. vlvu�rlvNvur4a.TANKPROGRAMOFFICIAL 1NSPeCMON REPORT P� l3 Ff. <br /> AN JOAQUIN HEALTH DISTRI04 -- <br /> 1601 E.HAZELTON AVESTOCK , <br /> PHONETNp. 468-�3�3 Ii �Y # 3 9 <br /> SITE NAME: oo LSe �� � <br /> L INSPECTION DATE: <br /> SITE ADDRESS: b K tt 5/ 4 a CITY/STATE/ZIP 57,o /l <br /> CHANGES SrrE/OWNER/PERMIT? YES NO TANK S" TANK <br /> ORM A AND/OR B SUBMITTED? COMPUTER 111 111-11- ��03 SER <br /> TANK --7� TANK <br /> TYPEAOF INNSPEpCT"ION SITE COMPUTER# NUMBERB,a� �,*c, NUMBER ��D MAWR R/%°T COMPtrfER/�03 <br /> h4O I1A�J� PER#E pW, 0i t% PER rt �0�� y0o4� NCiMBER�DOO <br /> EXP.DATE' EXP D /Nv1�iL PER♦ �y0"ln4 PER#A l'o OIG <br /> OPEFUMONAL TANK m.DATE °iv EXP.DATE <br /> PERMIT TO OPERATE MINoa <br /> 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 6 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM T7- 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAIN7AINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TAW 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 CLOSUREar <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 ME <br /> ACCESS LOCATIONS SEALED 41 42 _ <br /> POWER DISCONNECTED ME 43 <br /> OWNER/OPERAroR MONfIORING 44 45 "T <br /> PERMANENT TANK CLOSUREtr � <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 Ion W- x <br /> PIPING 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 58 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(M[!S'T MARK ONE) <br /> FOLLOWS: <br /> MAJOR 57 MINOR 58 59 <br /> VIOL E] VIOL NO <br /> VIOL <br /> OFFICE: INSP: LSA RECEIVED BY: <br /> i <br /> TITLE: �. (t PHONE: BECK: <br /> r.. <br /> HUT-3 OF"GINA1_ <br />