COMPLIANCE INFO_1987-1998 - Laserfiche WebLink

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UNDERG*ND TANK PROGRAM OFFICIAL 1 '�'�ECTION REPORT SAN JOAQUIN HEALTH DISTF COUNTY NAME 1601 E. HAZELTON AVE. STOCKTON, CA 95205 SITE NAME: PHONE NO. 468-3423 COUNTY # SITE ADDRESS: ldG reD eaM INSPECTION DATE �O3 Z.4j CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO ANK Z FORM A AND/OR B SUBMITTED? TANK Z TANK COMPUTER l COMPUTER TANK TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER COMPUTER COMPUTER NUMBER PER# NUMBER S PER# PER# PER# OPERATIONAL TANK EXP.DATE EXP DATE TANK CONTENTS EXP.DATE EXP.DATE PERMIT TO OPERATE MAJOR MINOR U © O qL CHANGE IN CONDITIONS TO OPERATE 1 2 APPROVED CONSTRUCTION 3 4 WRITTEN MONITORING PROCEDURES 5 6 - 7 8 APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 7p APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED PIPING 17 18 --- ._ ,". _ _.... . _.. INVENTORY RECONCILIATION 19 " TANK GAUGING 21 22 — -. - - APPROVED RESPONSE PLAN 23 24 -_ - �- UNAUTHORIZED RELEASE 25 26 OCCURRENCE 27 P8 -- SAMPLING 29 30 .... __. APPROVED TANK REPAIRS -- - UNAUTHORIZED RELEASES REPORTED 31 32 --- - 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 -- OWNER/OPERATOR MONITORING 43 " 44 45 PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING FLAMMABLE VAPORS REMOVED 50 49 UNAUTHORIZED RELEASE 51 52 - SAMPLING 53 _._ ..._..�__._�_._.... IMPROPER ABANDONMENT ----- 55 56 SYSTEM STATUS(mu sr MARK oNe) THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS FOLLOWS: MAJOR 57 MINOR 58 NO 59 VIOL. VIOL. VIOL❑ le 5f OFFICE: INS`P:� R EIVED B . TITLE: INC: RECK: HUT-3 ORIGINAL siae O