REMOVAL_1997 TEMP CLOSURE - Laserfiche WebLink

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UN. rATGROUND TANK OFFICIAL INSPECTION RE T SAN JOAOUIN PUBLIC HEALTH SERVICES ENVIRONMENT�IL HEAT TUPIVISION 300 E. ,bar Ave., hi loot COUNTY NAME S Melling Address:P.O.Box 398 St=kton,CA 95201-0388 SITE NAME: 48&3020 COUNTY # SITE ADDRESS: y,3 INSPECTION DATE: - // / V N' ce4,k S � CITY/STATE/ZIP S CHANGES SITE/OWNER/PERMIT? YES NO TANK 2 FORMA AND/ORB SUBMITTED? COMPUTER 3 TANK TANK TANK TYPE OF INSPECTION NUMBER COMPUTER COMPUTER COMPUTER SITE COMPUTER I NUMBER NUMBER NUMBER 7-- PER/ PER 4 PER# PER R EXP.DATE EXP.DATE OPE ATIONAL TANK TANK CONiENrs i EXP.DATE EXP.DATE MI1J08 MINOR PERMIT TO OPERATE I 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 --i — APPROVED MONITORING SYSI EM S ID MONITORING SYSTEM -11 12 APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 IB PIPING 19 20 INVENTORY RECONCILIATION 21 22 TANK GAUGING 123 24 - _.._ APPROVED RESPONSE PLAN 25 ZB UNAUTHORIZED RELEASE OCCURRENCE 27 26 .. . _. . SAMPLING 29 30 APPROVED TANK REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 134 SAFETY HAZARD 35 36 CONDITIONS ABA 37 TEMPOR RY TANK CLOSU T _ 11 .;,� 1 �' ' • ' ,'" REMOVAL OF RESIDUAL' 3B 39 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 4I 42 POWER DISCONNECTED 43 OWNER/OPERATOR MONITORING 44 45 t J V1 j;y. r77-777777 PERMANENT TANK CLOSURE n � � ,t 4 �, REMOVAL OF RESIDUALMATERIALS 46 47 PIPING 48 A9 FLAMMABLE VAPORS R%MOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 54 IMPROPER ABANDONMENT 55 56 TH MARKED ITEMS REPRESENT VIOLATIONS AND FAUST BE CORRECTED AS SYSTEM STATUS IMUSf M RK ONE? FOL W3: ZrAf) MAJOR 57 MINOR 59 , VIOL LJ VI VIOL. ❑ VIOL. ' OFFICE: INSPA� _ � RECEIVED BY: — TITLE: '/1✓v�V//J7�fN'), PHONE: BECK: HUT-3 White-original Yen"-0w ,'s Copy Plnk--FFile,Co_pv PHS 178 (4/96)