Laserfiche WebLink
UNDERGROUN—TANK PROGRAM OFFICIAL INSP ION REPORT /� i 0/_- <br />Z <br />AN JOAQUIN HEALTH DISTRICT a <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # 3 y' <br />PHONE NO. 468-3423 <br />SITE NAME: 0� 7 S74?Gl 70 /V�L"_ INSPECTION DATE: <br />SITE ADDRESS: Z 67 �, VaS4/Ai y/OhCITY/STATE/ZIP S%pC�zp� c <br />DHANGES SITE/OWNER/PERMIT? YES NO TANK p TANK TANK TANK <br />=ORM A AND/OR B SUBMITTED? COMPUTER ! COMPUTER COMPUTER COMPUTER <br />TYPE OF INSPECTnION SITE COMPUpTER # NUMBER NUMBER NUMBER NUMBER <br />y). K^fl /� O iJ PER # PER # PER # PER # <br />OPERATIONAL TANK <br />PERMIT TO OPERATE <br />CHANGE IN CONDITIONS TO OPERATE <br />APPROVED CONSTRUCTION <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />PIPING <br />FLAMMABLE VAPORS REMOVED <br />UNAUTHORIZED RELEASE <br />SAMPLING <br />IMPROPER ABANDONMENT <br />;YSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 MINOR 58 NC <br />VIOL. ❑ VIOL ❑ VI( <br />Ut IUF-: <br />HUT -3 <br />1 <br />3 <br />5 <br />7 <br />9 <br />11 <br />13 <br />15 <br />17 <br />19 <br />21 <br />23 <br />25 <br />27 <br />29 <br />31 <br />2 <br />4 <br />6 <br />8 <br />10 <br />12 <br />14 <br />16 <br />18 <br />20 <br />22 <br />24 <br />26 <br />28 <br />30 <br />32 <br />T <br />0 <br />m <br />m <br />m <br />w <br />m <br />m <br />m <br />'.DATE EXP. DATE EXP. DATE E} <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />TITLE: <br />ORIGINAL <br />5/88 ©, <br />