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>r <br />UNDERGROUND&NK PROGRAM OFFICIAL INSPECjWN REPORT <br />,,.. JOAQUIN HEALTH DISTRICT ;,) / <br />1601 E. HAZELTON AVE. <br />COUNTY NAME NO. sTocKTCA 95205 COUNTY #� � <br />PHONE NO. 468-3423 <br />SITE NAME: �r iZ <br />7 64-j <br />_ _--0'- <br />i <br />xL <br />SITE ADDRESS: 41-5 <br />s r <br />61A <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />EXP. DATE <br />COMPUTER <br />NUMBER <br />TYPE O INSPECTION SITE COMPUTER # <br />PER # <br />D Ll <br />EXP: DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE `V <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE 0 JqO <br />4 <br />APPROVED CONSTRUCTION (47A <br />5 <br />6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />_ m <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />MONITORING RECORDS MAINTAINED©� <br />ACCESS CASING SECURED IN <br />1 <br />17 <br />16 <br />18 <br />^ <br />PIPING (V <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 <br />22 <br />TANK GAUGING <br />23 <br />APPROVED RESPONSE PLAN <br />25 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />r30 <br />SAMPLING <br />29 <br />APPROVED TANK REPAIRS <br />31 <br />UNAUTHORIZED RELEASES REPORTED <br />33 <br />34 <br />SAFETY HAZARD <br />35 <br />36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />Feu <br />�'`i d'Iffij Ile <br />' <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />-- .._ ... <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE(V <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />m <br />C_ ITx/STATE <br />TANK <br />COMPUTER <br />NUMBER <br />PER # <br />EXP_ DATE <br />INSPECTION DATE: b— 36— 17 d <br />7 64-j <br />cI53776 <br />TANK I <br />TANK <br />COMPUTER <br />COMPUTER <br />NUMBER <br />NUMBER <br />PER # <br />PER # <br />EXP. DATE <br />EXP. DATE <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 155 156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: <br />57 58 <br />MAJOR MINOR NO 59 <br />VIOL. ^N VIOL. ❑ VIOL. ❑ <br />OFFICE: I INSP: I RECEIVED BY: _ <br />-3 <br />TITLE: A - / ✓ S <br />ORIGINAL <br />%_3e.2_0 <br />5/88 O m <br />