COMPLIANCE INFO_1986-2008 - Laserfiche WebLink

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UNDERGROU TANK PROGRAM OFFICIAL INSP ION REPORT �AN JOAQU_IN HEALTH DISTRICTW 7FI n�ltR STOCKTON, CA 95205 COUNTY # COUNTY NAME PHONE NO. 468-3423 SITE NAME: INSPECTION DATE: � �!� SITE ADDRESS: / Al / CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NFO TANK TANK 0.5-- TANK 0 TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBERNUMBER . , FJ/ NUMBER TYPE OF INSPECTION SITE COM/PUTER# PER # v4- PER# — / PER # (SLY PER# OD EXR DATE EXP.DATE EXP.DATE EXP.DATE TANK CONTENTS OPERATIONAL TANK MAJOR MINOR /0/ PERMIT TO OPERATE 1 2 _ CHANGE IN CONDITIONS TO OPERATE 3 4 -- APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 8 - APPROVEDMONITORINGSYSTEM 9 10 "-- MONITORING SYSTEM 11 12 -- -- -- APPROVED MONITOR FREQUENCY 13 14 - 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 36 -- CONDITIONS ABATED TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL M4445 FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS H53O:::� -"--- - PIPING FLAMMABLE VAPORS REMOVED - — -- ---`""" - _— UNAUTHORIZED RELEASE SAMPLING ...___.._ .._.—__. IMPROPER ABANDONMENT 155 156 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: S7/ Q4 MAJOR rh MINOR 58 NO 59 VIOL. u VIOL. ❑ VIOL❑ OFFICE: IJSP: RECEII ED BY: TITLE: - PHONE: c� BECK: F/ siaa OM HUT-3 ORIGINAL