COMPLIANCE INFO_1988-2001 - Laserfiche WebLink

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UNDERGROUNfi,ANK PROGRAM OFFICIAL AN JOAOUIN HEALTH DISTRICT �ON REPORT 1601 E. HAZELTON AVE. STOCKTON, CA 95205 COUNTY # COUNTY NAME PHONE NO. 468-3423 SITE NAME: � b� � INSPECTION DATE: q SITE ADDRESS: la6lao ��jy� /Z- CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO TANK �/ TANK TANK TANK FORM A,AND/OR B SUBMITTED? NUMBERER NUUMBERER NUUMBERER NUMBER COMPUTER TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# ,E'ov tri 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 27 28 -- SAMPLING 29 APPROVED TANK REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 - - -- - "- CONDITIONS ABATED 37 - -.��"-- - TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 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 - FLAMMABLEVAPORSREMOVED - ----- -- -- UNAUTHORIZED RELEASE 51 52 ----------.---- SAMPLIN 53 54 _ ------ OPER ABANDONMENT 56 THE MARKED ITEMS REPRESENT IOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: !!�///' MAJOR 57 - MINOR 5B NO 59 VIOL. VIOL ❑ VIOL.❑ - OFFICE: INSP: CpRECEIVED BY: TITLED ;�.`.�,lj PHONE: BECK: 5/88 0- HUT-3 ORIGINAL