Laserfiche WebLink
UNDERGROUI -TANK PROGRAM OFFICIAL INSPr TION REPORT <br />+wSAN JOAQUIN HEALTH DISTRICT-,-' <br />1601 E. HAZELTON AVE. <br />COUNTY NAME1 <br />S <br />TANK CONR:Nrs <br />STOCKTON, CA 95205 <br />COUNTY # <br />MAJOR I MINOR <br />3 Q <br />PHONE NO 468-3423 <br />50 <br />T <br />SITE NAME:('G <br />AfA <br />7 8 <br />9 10 <br />11 12 <br />INSPECTION DATE:IS <br />4i <br />4- u 1 V <br />s <br />21 22 <br />23 24 <br />SITE ADDRESS: <br />27 28 <br />S�, <br />CITY/STATE/ZIP <br />f //n <br />T <br />CHANGES SITE/OWNER/PERMIT? YES <br />NO <br />TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? ` <br />W4445 <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER <br />PER # , D� <br />NUMBER <br />PER # <br />NUMBER <br />PER # <br />NUMBER <br />PER # <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />V O I D of EXP. DATE EXP. DATE <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING _ <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING <br />TANK CONR:Nrs <br />46 <br />MAJOR I MINOR <br />1 2 <br />49 <br />50 <br />3 4 <br />5 6 <br />7 8 <br />9 10 <br />11 12 <br />13 14 <br />15 16 <br />17 18 <br />19 20 <br />21 22 <br />23 24 <br />25 26 <br />27 28 <br />29 30 <br />31 32 <br />33 34 <br />35 36 <br />37 <br />OFFICE: <br />I 38 139 <br />W4445 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />46 <br />47 <br />48 <br />49 <br />50 <br />51 <br />52 <br />53 <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 MINOR <br />VIOL VIOL. Ll <br />NO 59 <br />VIOL ❑ <br />OFFICE: <br />INSPr_ -&.-& <br />HUT -3 <br />—1z - __ <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />ORIGINAL <br />IPHONE: <br />Z VKiOWl' M& YU <br />areki U4 <br />9'V[03 <br />5/88 ©M <br />