Laserfiche WebLink
UNDERGROUNDJWK PROGRAM OFFICIAL INSPEC'N REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: /,` tl/oo INSPECTION DATE:s.�/ <br /> SITE ADDRESS: z N roSGM�•,k CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES / NO TANK C7 TANK 0 -4- TANK C7 3 TANK b Cl <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE INSPECTION SITE COMPUTER# PER # PER# PER # PER# <br /> ovAe/F/ I /Y/9 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANKTANK CON NTS - <br /> MAJOR MINOR -7$47 ?A L 4DOO V L 7.367 "L• • O• <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 12 <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 I 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> 7 <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 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: og <br /> MAJOR 57 MINOR 58 NO 5 <br /> VIOL. ❑ VIOL. ❑ VIOL C oJo/ 4 <br /> lie <br /> OFFICE: INSP, R IV�ED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 <br />