Laserfiche WebLink
i.Y <br /> UNDERGROUV TANK PROGRAM OFFICIAL INSPF" -ION REPORT <br /> `iwdAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME J-OR 0Uitl STOCKTON, CA 95205 COUNTY # 3 9 <br /> PHONE NO. 468-3423 <br /> SITE NAME: C,eEYHV UnfD _Dfe INSPECTION DATE: <br /> SITE ADDRESS: l2I. �' (2e-AvrErz $j CITY/STATE/ZIP sTG eraW� CA �52rjZ_ <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK Qi TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSP CTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> I�UTI�lr� Q� 4le-Fv�/ /� PER# PER# PER# PER# <br /> �i !C7 EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <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 11 <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 36 <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 � <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED <br /> OWNER/OPERATOR MONITORING 144 145 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 _ <br /> FLAMMABLE VAPORS REMOVED 50 mUNAUTHORIZED RELEASE 51 52 - - � <br /> SAMPLING 53 54IMPROPER ABANDONMENT 55 56 __ <br /> THE MARKED ITEMS REPRESENT/VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: E. Al EXT PA" 45, <br /> 58 <br /> MAJOR 57 MINOR NO 59 ` <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP: VtDL�Tr RECEIVED BY: <br /> TITLE: �, Y, S, PHONE: BECK: <br /> HUT-3 ORIGINAL 5,88 <br />