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UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br /> NK <br /> JOAQUIN HEALTH DISTRIcw <br /> 1601 E. HAZELTON AVE. V <br /> COUNTY NAME '44ST]OTE <br /> CA 95205 COUNTY # <br /> PHO(y(E NO. 468-3423 <br /> SITE NAME: / J� ,�•cf— INSPECTION DATE: <br /> SITE ADDRESSL5�w( CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANKj TANK Q, TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPL)TER COMPUTER COMPO R COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# <br /> r ts�c.` j' �9 ' .1 ILL EXP.DATE EXP.DATE A EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR now <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 7 <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 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 T _ <br /> SAFETY HAZARD 35 36 <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 44 145 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 w <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 - <br /> UNAUTHORIZED RELEASE 51 52 w <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 155 166 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP: REC E Y: <br /> TITLE: PHONE: RECK: <br /> HUT-3 ORIGINAL _ 5/88 0, <br />