Laserfiche WebLink
UNDERGROUN' TANK PROGRAM OFFICIAL INSPE' TION REPORT <br /> '�-6AN JOAQUIN HEALTH DISTRICT . <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY PHONE NO. 468-3423 <br /> SITE NAME: / C // ,oii /" 4 J� INSPECTION DATE:: 3 �� <br /> SITE ADDRESS: l q ZS -5,) C.2hST SITY/STATE/ZIP �� l��yp y/ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK 7/S TANK TANK <br /> d <br /> FORM AAND/OR B SUBMITTED? COMPUTER'—/� COMPUTERIP, COMPUTER COMPUTER <br /> TYPE OF IN CTION SITE COMPUTER# NUMBER /CSO00: NUMBER NUMBER NUMBER <br /> PER# PER# PER# PER# <br /> D <br /> EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK u KCONTENrs <br /> MAJOR I 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 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 1 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 <br /> SAFETY HAZARD 35 38 <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 46 47 <br /> PIPING 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: Z' <br /> MAJOR 57 MINOR 58 59 <br /> NO <br /> VIOL. VIOL ❑ VIOL❑ <br /> OFFICE: INSP:tV R EIVED BY: <br /> TITLE: �„5 PHONE: RECK: <br /> HUT-3 ORIGINAL siee OM <br />