COMPLIANCE INFO 1991 - Laserfiche WebLink

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UNDERGRO�ANK PROGRAM OFFICIAL IN§"TION REPORT AN JOAQUIN HEA1601 E. QLNTH DISTRI STOCKTON, CA 95205 COUNTY # E COUNTY NAMU I PHONE NO. 468-3423 INSPECTION DATE: y/�3M , SITE NAME: � �� A,� �� CITY/STATE/ZIP SITE ADDRESS: �I fJ / TANK CHANGES SITE/OWNER/PERMIT? YES NO TANK l TANK Z TANK COMPUTER FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTE NUMBER NUMBER NUMBER NUMBER SITE COMPUTER# PER# PER# PER# TYPE OF INSPECTION PER# EXP.DATE EXP DATE EXP DATE EXP.DATE TANK CONTENTS OPERATIONAL TANK 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 12 -" ._.. ._ APPROVED MONITOR FREQUENCY 13 14 "- MONITORING RECORDS MAINTAINED 15 16 - - 18 ACCESS CASING SECURED 17 - - . PIPING 19 20 -- INVENTORY RECONCILIATION 21 22 -- TANK GAUGING 23 24 APPROVED RESPONSE PLAN 25 26 -- - "- UNAUTHORIZED RELEASE OCCURRENCE 27 26 SAMPLING 29 30 " APPROVED TANK REPAIRS 31 32 - - '- - UNAUTHORIZED RELEASES REPORTED 33 34 -.. �..�.._. _.. SAFETY HAZARD 35 36 ----"-�-'-- -"- 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 as 47 - PIPING 48 49 - FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE SAMPLING 53 54 ANDONM 56 .THE MARKED ITEMSREPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: 58 59 MAJOR 57 MINOR NO VIOL VIOL. VIOL❑ OFFICE: INSP: ovG RECEIVED BY: PH NE: BECK: TITLE: S. � � 5188 HUT-3 ORIGINAL