Laserfiche WebLink
UNDERGROU*TANK PROGRAM OFFICIAL INSPionON REPORT <br /> SAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKPHONE TON, CA 205NO. 468-3 423 CUNNTY <br /> SITE NAME: ���� INSPECTION DATE: <br /> SITE ADDRESS: �� CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? ES NO TANK / TANK TANKL TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER, yy� COMPUTER COMPUTER COMPUTER <br /> NUMBER �`'/""'� NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMP/UT`E�R''J PER# vA*)�1 PER# PER# PER# <br /> EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK R MI NIS <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 <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 K37 <br /> SAMPLING -- <br /> APPROVED TANK REPAIRS <br /> UNAUTHORIZED RELEASES REPORTED <br /> SAFETY HAZARD __...._._...._...-- - <br /> CONDITIONS ABATED - <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 [q771 <br /> ....._ ._. .. _.. <br /> PIPING --- <br /> FLAMMABLE VAPORS REMOVED - <br /> UNAUTHORIZED RELEASE <br /> SAMPLING -- <br /> IMPROPER ABANDONMENT <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR MINOR 58 N( 59 <br /> 57 <br /> VIOL ❑ VIOL. ❑ VIOL. <br /> OFFICE: G/W�' J RECEIVED BY: <br /> TI L <br /> PHONE: BECK: <br /> HUT-3 ORIGINAL siea <br />