REMOVAL_1989 - Laserfiche WebLink

Home Browse Search

UNDERGROUO TANK PROGRAM OFFICIAL INS ION REPORT SAN JOAQUIN HEALTH DISTRIC 1601 E. HAZELTON AVE. STOCKTON, CA 95205 COUNTY # 3q COUNTY NAME Sc3t`� urn PHONE NO. 468-3423 SITE NAME: 1n a �l {� � INSPECTION DATE: SITE ADDRESS: �\be C ,p ❑C i n CITY/STATE/ZIP Is 1- h C CHANGE S,,SIT WNER/PERMIT? YES NO TANK p 1 TANK 0.1, TANK U TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER Ll NUMBER NUMBER NUMBER NUMBER TYPE OF INSPECTIONqSITE COMPUTER# PER # PER# PER# PER # �1 i 1'tG wi ILo EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL WANK TANK CONTENTS 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 11 112 APPROVED MONITOR FREQUENCY 13 114 MONITORING RECORDS MAINTAINED 15 16 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 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 136 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 46 147 PIPING 48 49 Q _ FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 54 LA IMPROPER ABANDONMENT 55 56 THE MARKED ITEMS RFPRESEN LATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOW 57 58 59 MAJOR VIOL. [jNOR NO VIOL, ❑ VIOL.❑ OFFICE: INSP: RECEIVED BY: TITLE: y< PHONE: RECK: HUT-3 ORIGINAL s�sa pM