Laserfiche WebLink
UNDERGROUT NK PROGRAM OFFICIAL INSP N REPORT <br /> WN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. _ <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # j <br /> PHONE NO. 468-3423 <br /> SITE NAME: �/\�. ���t- INSPECTION DATE:f i!q_c <br /> SITE ADDRESS: <br /> UU� 1 1/ CITY/STATE/ZIPo FIC, lvs_�_;j <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANKTANK <br /> FORM A AND/OR B SUBMITTED? COMPUTECOMPUTER COMPUT COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBEI /�000 NUMBEPi(j CL NUMBER <br /> /�f PER# PER# ^� u PER# j,� ER# <br /> NI EXP.DA E' EXP.DAT_ DAT EXP.DATE <br /> OPERATIONAL TANK rnNK coNrENrs <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 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 114 <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 j28 . <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 /> C <br /> 57 58 59 — <br /> MAJOR MINOR NO <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP E I BY: <br /> TITLE:gIe_� P E: BECK: <br /> HUT-3 ORIGINAL 5/88 n' <br />