Laserfiche WebLink
UNDERGROUP TANK PROGRAM OFFICIAL INSPF TION REPORT <br /> "SAN JOAQUIN HEALTH DISTRICT �- <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAMESTOCKTON, CA 95205 COUNTY # G <br /> SQ/!/lJ Q PHONE NO. 468-3423 ( pprr <br /> SITE NAME: 44 INSPECTION DATE: <br /> SITE ADDRESS: Lill CITY/STATE/ZIPckv-e4 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK 0.15 TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYLE OEII SPECTI N SITE COMPUTER# <br /> vi�i� � PER # PER# PER# PER# <br /> EXP DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TARKcoRrERrs <br /> MAJOR INOR <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 27 28 <br /> SAMPLING <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 1 139 <br /> FLAMMABLE VAPORS REMOVED &44 <br /> ACCESS LOCATIONS SEALED r45 <br /> POWER DISCONNECTED OWNER/OPERATOR MONITORING <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: i ct <br /> 58 59 <br /> MAJOR MINOR NO <br /> VIOL. 57 VIOL. VK)L <br /> OFFICE: INSP: RECEIVED Y: <br /> Gr� <br /> TITLE: PEAS P PECK: <br /> HUT-3 ORIGINAL 5/M O- <br />