Laserfiche WebLink
UNDERGROU�TANK PROGRAM OFFICIAL INSP [ON REPORT <br /> AN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. q <br /> COUNTY NAME-S C't,, t STOCKTON, CA 95205 COUNTY # <br /> �a PHONE NO. 468-3423 <br /> SITE NAME: jAc�C.E:_�'Ass 0C4 INSPECTION DATE:. ._ <br /> SITE ADDRESS: ' t --� CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES 'TANK c9 TANK G ; TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER # NUMBER NUMBER NUMBER NUMBER <br /> ,rte. PER # PER# PER# PER# <br /> ��tiEXP.DATE EXP.DATF EXP.DATE EXP.DATE <br /> d NC <br /> OP <br /> AL 1-AN TANK CONTENTS •.a,e, <br /> MAJOR I MINOR Denoo <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 11 112 <br /> APPROVED MONITOR FREQUENCY 13 14 <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 /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <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 MONITORING 44 145 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 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:58 59 " <br /> MAJOR 57 MINOR NO _ <br /> VIOL. VIOL. 11 VIOL. <br /> OFFICE; INSP: ^E-^^"E^ B <br /> '► C%�ii�"pc}S,$'O e!C�LL��C.s�.�r.C�Z,U-��--� <br /> TITLE; PH �e __r C K3 <br /> HUT-3 ORIGINAL <br />