Laserfiche WebLink
-- TANK PROGRAM OF 1t�iH DISTRICSP�^'RONREPursI <br /> UNDERGROUM <br /> ,SAN JOAD0IUM OF' .. <br /> STOGKTON, CA 95205 <br /> Call #3q <br /> COUNTY NAME -X!&P. �o a PHONE NO. 468-3423 <br /> / (��,, ` � n INSPECTION DATE: <br /> SITE NAME: �.(-� .�OSC' ks [�� S i Cc�C� S'p1�,► x/9- f 5aa 7 <br /> If CITY/STATE/ZIP <br /> SITE ADDRESS: ��0 �, (fa l� �' TANK Q y. TANK TANK <br /> CHANGES SIT COMP YES NO TANK COMPUTERO ' COMPUTER COMPUTER COMPUTER <br /> FORM A AND/OR B SUBMITTED?------ NUMBER NUMBER <br /> NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER//# <br /> � PER# PER# PER # PER# <br /> Np w1f� D l,Y EXP DATE EXP DATE EXP DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK <br /> MAJOR MINOR <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 /> MONITORING SYSTEM 11 12 _..._ <br /> APPROVED MONITOR FREQUENCY 13 14 r�• . .. .. <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 oC I o1 ( D <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 31 132 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <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 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS <br /> PIPING <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE <br /> SAMPLING <br /> IMPROPER ABANDONMENT 554 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 58 <br /> MAJOR 57 MINOR NO 59 <br /> VIOL. VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP. a � RECEIVED BY: <br /> ct� <br /> TITLE: #�f PHONE: PECK: <br /> HUT-3 ORI INAL siee O <br />