REMOVAL REMOVAL 1989 - Laserfiche WebLink

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UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT USAN JOAQUIN HEALTH DISTRICT 1601 E. HAZLETON AVE. COUNTY NAMEJK" .� COUNTY #STOCKTON, CA 96205 Qn./ ",- PHONE NO. 468-3423 3 SITE NAME: r� a ha�se INSPECTION DATE: �Z$ SITE ADDRESS: jo N. CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YESI, NO TANK TANK TANK TANK �05— FORM A AND/OR B SUBMITTED? /�� COMPUTER COMPUTER COMPUTER COMPUTER TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER �+— PER # PER# PER# G ilmol-rt I EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK TANK CONTENTS MAJOR MINOR PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 - `— -- - WRITTEN MONITORING PROCEDURES 7 8 - --- APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 APPROVED MONITOR FREQUENCY 13 14 — -- MONITORING RECORDS MAINTAINED 15 16 -_- --- ACCESS CASING SECURED 17 18 -- -- PIPING 19 20 - - INVENTORY RECONCILIATION 21 22 -- TANK GAUGING 23 24 - - -- APPROVED RESPONSE PLAN - - --- -- 25 26 ' UNAUTHORIZED RELEASE OCCURRENCE -- SAMPLING 29 30 - "-- --- APPROVED TANK REPAIRS 31 32 - - — -- UNAUTHORIZED RELEASES REPORTED 33 34 -- SAFETY HAZARD .- _... -- ---... -_- 35 36 ..._---.. .. _. CONDITIONS ABATED 37 -_- TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 '39 FLAMMABLE VAPORS REMOVED 40 - - ACCESS LOCATIONS SEALED 41 42 ------ POWER DISCONNECTED 43 OWNER/OPERATOR MONITORING 44 45 -- - -- PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 _.. . ._... _.._..._----- _._... FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 - _-- SAMPLING 53 54 IMPROPER ABANDONMENT 55 56 - --- THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) /Lb (/Zo�'l�7a.�6 FOLL WS, 4/,q'Of�/N MA obsPrvt�( t�uMn�y sa-f& �' /�9 w( u NO VIOL R ❑ VIOLMINL..R1 ❑ VOL❑ OFFICE: INSP: �/ RECEIVED BY: TITLE: lerws PHONE: BECK: HUT-3 ORIGINAL 5/88 OM