Laserfiche WebLink
UI`, GIROUND TANK OFFICIAL INSPECTION 1i <br /> SAN JOAOUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> COUNTY NAME445 N.Sen Jaaquln Street <br /> Mallinp Addreae: P.O.Box 388 <br /> Stockton,CA 85201.0388 <br /> SITE NAME: 488-3420 COWY# <br /> SITE ADDRESS: INSPECTION DATE: <br /> CHANGES SITE/ <br /> - YES CITY/STATE/ZIP <br /> FORM A AND/OR B SUBMITTED? NO TANK <br /> TANK TANK TANK <br /> TYPE OFINSPECiION —� COMPUTER COMPUTER COMPUTER <br /> SITE COMPUTER N NUMBER NUMBER NUMBER COMPUTER <br /> NUMBER <br /> PER# <br /> PER# PER r PER x <br /> EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK 11WKQONIENIS EXP DATE <br /> M1 �� <br /> PERMIT TO OPERATE MAJOR MINOR1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 T- <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 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 28 <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 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 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 VI ATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 5859 <br /> VIO . 111 '2jAI2qm:r_ <br /> ❑ VIOL. ❑ VIOL.❑ <br /> m <br /> OFFICE: INSP RECEIVE Y' <br /> TITLE'�,'-TW: WS PHONE: BECK. <br /> HI IT-3 Wnea-Oneinsl Yellow-Ownees Coov Pink-Rio Conv [/so C, <br />