COMPLIANCE INFO 1985-2006 - Laserfiche WebLink

Home Browse Search

AGROUND TANK OFFICIAL INSPECTION AT SAN JOAQUIN PUBLIC HEALTH ENVIRONMENTAL HEALTH D VISION 445 N.San Joaquin Street Mailing Address: P.O.Box 388 Stockto COUNTY # COUNTY NAME 4 01. 0388 883420 SITE NAME: INSPECTION DATE: l SITE ADDRESS: d C CITY/STATE/ZIP y CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK FORM A AND/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 TMK CONTENTS MAJOR MINOR D Nti �D PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 % WRITTEN MONITORING PROCEDURES 7 APPROVED MONITORING SYSTEM 9 10 _ MONITORING SYSTEM 11 12 / APPROVED MONITORNCV 13 14 MONITORING RECORDSS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 PIPING /9 20 INVENTORY RECONCILIATION 21 22 TANK APPROVED 23 24 _ / APPROVED RESPONSE PLAN 25 26 UNAUTHORIZED RELEASE OCCURRENCE 27 28 SAMPUNG 29 30 APPROVED TANK REPAIRS UNAUTHORIZED RELEASES REPORTED 33 134 SAFETY HAZARD 35 136 CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 3B 39 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 .. OWNER/OPERATOR MONITORING 44 45 7, 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: • 57 58 59 NO VIOL MAJOR ❑ VIOL.MIN .R ❑ VOL.❑ - OFFICE: INSP: PECE1VED TITLE: h/� PHONE: RE HILT-3 White-Original Yellow-Owner's Copy Pink-File Copy