COMPLIANCE INFO 1989-1994 - Laserfiche WebLink

Home Browse Search

UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT AN JOAQUIN HEALTH DISTRICT 1601 E. HAZELTON AVE. COUNTY NAME .� STOCKTON, GA 95205 PHONE NO. 468-3423 COUNTY # SITE NAME; r INSPECTION DATE: SITE ADDRESS: �' MewCITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO TANK C TANK 2_ TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER TYPE OF INSPECTION SITE COMPUTER# NUMBER X1260 NUMBER g7Z� NUMBER NUMBER PER # �* PER# PER # PER # 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 - 6 5 WRITTEN MONITORING PROCEDURES 7 8 --� - APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 -- ..___. . .._. APPROVED MONITOR FREQUENCY 13 A4 ` MONITORING RECORDS MAINTAINED 1 16 ACCESS CASING SECURED 17 18 PIPING 19 20 INVENTORY RECONCILIATION 21 2 TANK GAUGING 23 24 APPROVED RESPONSE PLAN 25 26 p�- UNAUTHORIZED RELEASE OCCURRENCE 27 28 SAMPLING 29 30 APPROVED TANK REPAIRS 31 E34 _ UNAUTHORIZED RELEASES REPORTED 33 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) FOLLOWS: 58 59 MAJOR 57 WNOR NO VIOL. VIOL. VIOL. IoI OFFICE: INSP: RECEIVED BY: TITLE:�' An BECK: J � HUT-3 ORIGINAL Sias OM