Laserfiche WebLink
UNDERGROUN^ TANK PROGRAM OFFICIAL INSPFrTION REPORT <br /> JOAQUIN HEALTH DISTRICT <br /> STOCKTON cCA 86986 COUNTY # '5 <br /> COUNTY NAME Q PHONE NO. 468-3423 <br /> SITE NAME: 61 INSPECTION DATE: <br /> /J /JAk <br /> SITE ADDRESS: a� V , � CITY/STATE/ZIP 95ZQ3 <br /> CHANGES SITE/OWNER/PERMIT? YDS O TANK Q / TANK OZ- TANK 03 TANK <br /> FORM AAND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER oal NUMBER35W NUMBER 05� NUMBER <br /> TYP OFJ�.�JSPECTION SffE COMPUTER# PER# (V"- PER# J��" PER# PER* <br /> f/(( EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> W�IK CONIENIS C <br /> OPERATIONAL TANK MAJOR I 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 17 118 <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 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL w44 . <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED _ <br /> OWNER/OPERATOR MONITORING <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL VIOL ❑ VIOL❑ <br /> OFFICE: INSP: RECEIVED BY:- <br /> ((/�rl A&Ao& <br /> TITLE: PHONE: PECK: <br /> HUT-3 ORIGINAL siee O' <br />