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uwlucnur'iul�3 TANK PROGRAM OFFICIAL INS' 'CTION REPORT <br /> 4N JOAQUIN HEALTH DISTRICi-✓ " <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME PHONE NO. 46s 3423 COUNTY # <br /> SITE NAME: : R664ezr_ Aa4,4-1 INSPECTION DATE: <br /> SITE ADDRESS: /70 .5 1 57- CITY/STATE/ZiP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK ¢ / TANK J Z TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER TANK >� <br /> TYPF�Fr1kkTION SITE COMPUTER# <br /> NUMBER NUMBER ER COMPUTER COMPUTER <br /> /��``���ll PER# BER <br /> IJ9SS-0/ PER# I9sd PER.# PER# <br /> EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE <br /> 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 14 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 -- <br /> PIPING - - S D0 !J I <br /> 19 -0 " <br /> INVENTORY RECONCILIATIONa - <br /> 21 - � -- <br /> TANK GAUGING 22 - L(00- <br /> 23 24 11( <br /> APPROVED RESPONSE PLAN 25 26 V <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 <br /> REMOVAL OF RESIDUAL38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 145 1m <br /> FPERMANENT TANK CLOSURE ,-M,.1 r <br /> OVA 46 47 <br /> NG 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' a 2Y /—& lh p <br /> MAJOR 57 MINOR 68 NO 59 ii►s _�/ T�1 <br /> VIOL El -� VIOL. ❑ VIOL. i rsr�dlFk <br /> -...- ?_QLL_r•T SSI <br /> OFFICE: INSP. RECEIVED BY: <br /> TITLE: r. (4_5PHONE: BECK: <br /> IUT-3 ORIGINAL <br /> 5Bfl Q M <br />