COMPLIANCE INFO_1986-2008 - Laserfiche WebLink

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UNDERGROU TANK PROGRAM OFFICIAL INSP►" TION REPORT WSAN JOAQUIN HEALTH DISTRICTV 1601 E. HAZELTON AVE. COUNTY NAMETO KTON,E NO. CA 520 COUNTY # 3 SITE NAME: INSPECTION DATE: SITE ADDRESS: /c �v I I�f _ CITY/STATE/ZIP 7 CHANGES SITE/OWNER/PERMIT? YES NO TAA ( TANK S TANK C. TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER TYPE INSPECTIONSITE COMPUTER# NUMBER IbW-c f NUMBER NUMBER I L 00-6 NUMBER PER# PER # PER# PER # v '(�? A6 6eD EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK 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 12 --- APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 Y, - 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 31 132 - UNAUTHORIZED RELEASES REPORTED 33 134 SAFETY HAZARD 35 36 _ ._--'-- CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL W4445 — --" - -- ""- FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED - POWER DISCONNECTED OWNER/OPERATOR MONITORING _- 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 5ar_ VIOL. ❑ VIOL ❑ VOL❑ OFFICE: 1NSP; 5RCEI TITLE £ / _c CK: HUT-3 ORIGINAL siae O�