Laserfiche WebLink
UNDERGROU!" TANK PROGRAM OFFICIAL INSPF- -TION REPORT <br /> SAN JOAQUIN H1601 E. EAQLITH DISTRICT <br /> STOCKTON, CA 95205 COUNTY # j <br /> COUNTY NAME PHONE NO. 468-3423 <br /> INSPECTION DATE: <br /> SITE NAME: <br /> Uvyw-.� <br /> SITE ADDRESS: 1Qd CITY/STATE/ZIP GD <br /> CHANGES SITE/OWNER/PERMIT? YES NO ANK 01 TANK TANK (j3 TANK <br /> FORM AAND/OR B SUBMITTED? - COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYP F INSPECTIO S,I�TEQC'OMPRp# PER# PER# PER# PER# <br /> at to- EXP.DATE- EXP.DATE EXP.DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK 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 J <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 /> SAMPUNG 29 30 — <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED :3 34 - <br /> SAFETY HAZARD -- <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 MONffORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 - <br /> FLAMMABLE VAPORS REMOVED 60 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPUNG 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: <br /> 58 59Ll <br /> MAJOR 57 <br /> MINOR NO '� <br /> VIOL. CJ VIOL. LJ VIOL <br /> OFFICE: INSP: ,/„J/� RECEIVED BY: <br /> TITLE:f h/QS PHONE: RECK: <br /> HUT-3 ORIGINAL <br />