COMPLIANCE INFO 1987-1993 - Laserfiche WebLink

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UNDERGROUWAN JPROGRAM OFFICIAL INSPO"rOAQUIN HEALTH D STRICT ON REPORT 1601 E. HAZELTON AVE. STOCKTON, CA 95205 COUNTY # 3 COUNTY NAME N N PHONE NO. 468-3423 INSPECTION DATE: SITE NAME: T-uar' lip Sbop 'Y SITE ADDRESS: 3 � �� CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YE NO TANK TANK 2 TANK TANK FORM AAND/OR B SUBMITTED? / COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBER NUMBER NUMBER TYPE OF INSPECTION SITE COMPUTER# PER # PER # PER# PER# EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK TANK CONTENTS Nrr JO MINOR PERMIT TO OPERATE CHANGE IN CONDITIONS TO OPERATE APPROVED CONSTRUCTION 5 6 - WRITTEN MONITORING PROCEDURES 7 - - - APPROVEDMONITORINGSYSTEM 9 10 - -- MONITORINGSYSTEM 11 12 - APPROVEDMONITORFREOUENCY K37 MONITORING RECORDS MAINTAINED -- ACCESS CASING SECURED -- PIPING INVENTORY RECONCILIATION - TANK GAUGING ..-_ APPROVED RESPONSE PLAN - UNAUTHORIZED RELEASE OCCURRENCE SAMPLING APPROVED TANK REPAIRS UNAUTHORIZED RELEASES REPORTED ..�._. _--.. ..._-�.__....-- SAFETY HAZARD __.. CONDITIONS ABATED 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 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 _-.__.. ..__ -..-. - ------ UNAUTHORIZED RELEASE 51 52 _- SAMPLING 53 54 -- IMPROPER ABANDONMENT - 55 56 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: - - MAJOR 57 MINOR 58 NO 59 VIOL. VIOL. ❑ VIOL❑ -- OFFICE: INSP:n� ,{ ,y RECEIVED BY: TITLE: JQ,E-T� PHONE: RECK: HUT-3 ORIGINAL 5188 ©M