Laserfiche WebLink
1.14GROUND TANK OFFICIAL INSPECTION AT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N.Sen Joaquin Street <br /> Melling Addreae: P.O.Box 380 <br /> COUNTY NAME Stockton,CA 95201-0308 COUNTY # 3 <br /> 4083420 <br /> SITE NAME: G �p, INSPECTION DATE: `1 <br /> SITE ADDRESS: , fh� S ++ �I2a.�-pWa), CIT /STA E/ZP ✓�i6 <br /> CHANGES SITE/OWNER7/PERMIT? YES NO TANK ,l TA K!•`�S TA K TANK / <br /> FORM A AND/OR B SUBMITTED? COMP ssqq�� COMPUTER OMPUTER COMPUTER <br /> TYPE OF INSPEC ON SITE COMPUTER # <br /> NU BE (/1/v PERNUM /q�® UMRER NUMBER <br /> A PFf-2 �J PER# �(/ PFR # PER # <br /> (/ CXP_I7A7 EXP.DAT EXP.DAM FiXP.DAIL <br /> OPERATIONAL TANK TANK COWIENTS <br /> MAJOR MINOR_ <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 38 <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 4U <br /> ACCESS LOCATIONS SEALED 141 142 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 4.5 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 4A 49 <br /> FLAMMABLE VAPORS REMOVED no <br /> UNAUTHORIZED RELEASE bi 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE <br /> MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED Afi <br /> SYSTEM STATUS(MUST MARK ONE) <br /> MAJOR 57 56 <br /> MINOR NO <br /> VIOL. ❑ VIOL ❑ VIOL <br /> OFFICE: INSPyN �j <br /> i RECEI BY: <br /> / f <br /> TITLE:f��C/� PHON <br /> E: 2 l BECK' <br /> � V L <br /> HUT-3 White-Original Yellow-owner's Copy Pink-File Copy 'van C9. <br />