COMPLIANCE INFO 1987-2005 - Laserfiche WebLink

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UNDERGRODUTANK PROGRAM OFFICIAL INSP ION REPORT AN JOAQUIN HEALTH DISTRICT 1601 E. HAZELTON AVE. COUNTY NAMESTOCKTON, CA 95205 -:2 r, PHONE NO. 468-3423 q SICOUNTY #TE NAME: 1�1 /(W' at-go ,go mob- t c-�( INSPECTION DATE: -3l ! 02 SITE ADDRESS: / �! C /, / � � Y/SSTATE/ZIP CHANGES SITE/OWNER?/PEERMIT? YES NO TANK / TANK .Z TANK 3 YANK7 FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER TYPE OF INSPECTION SITE COM # NUMBER NUMBER NUMBER NUMBER YL,JL_ /COMPUTER ryPUTER SO PER# PER# PER# PER# EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK TANK COI NTs 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 ,7712 APPROVED MONITOR FREQUENCY 13' 14 MONITORING RECORDS MAINTAINED 15 116 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 30 APPROVED TANK REPAIRS 31 132 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 36 CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL I 38 139 FLAMMABLE VAPORS REMOVED W44475 ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 P4 -" IMPROPER ABANDONMENT 55—v56 THE-MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: MAJOR 57 MINOR 58 NO 59 fy VIOL LId VIOL Q VIOL❑ OFFICE: INSP: RECEIVED BY: TITLE: /� S PHONE: ECk: HUT-3 ORIGINAL 5/88 O,