Laserfiche WebLink
UNDERGROUV" TANK PROGRAM OFFICIAL INSPr—TION REPORT <br /> 1__**.oAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. `1 <br /> COUNTY NAME /� d STOCKTON, CA 95205 <br /> PHONE NO. 468-3423 COUNTY # <br /> �l ! jo <br /> SITE NAME: INSPECTION e INSPECTION DATE: 6p-,03.G12 <br /> SITE ADDRESS: 20 1 inlrq-f'" <br /> CITY/STATE/ZIP'51�� �- 95CHANGES SITE/OWNER/PERMIT? YES NO TANK p/ TANK pTANK TANK <br /> FORM A AND/OR B SUBMITTED? NO COMPUTER COMPUTER COMPUTER COMPUTER <br /> TxTYP OF INSPECTION SITE COMPUTER# NUMBER JOK NUMBER `O NUMBER NUMBER <br /> ' 1+ PER# PER# L PER# PER# <br /> V / EXP.DATE EXP.DATE � � EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK Cori MNTS <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 8 777 . / <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 Vol' <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 F3334 <br /> 30 <br /> APPROVED TANK REPAIRS 32 _ <br /> UNAUTHORIZED RELEASES REPORTED SAFETY HAZARD 36 <br /> CONDITIONS ABATED 7 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED m 43 - <br /> OWNER/OPERATOR MONITORING 44 45 <br /> :F - <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 148 149 - <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 -- <br /> SAMPLING _ <br /> IMPROPER ABANDONMENT 55 56 <br /> 4-��-- <br /> THE MARKED ITEMS REPRESEN 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)Wdl <br /> R JIVED ll <br /> BY- <br /> TITLE: l Q L PHONE: BECK: <br /> �f` <br /> 5/88 <br /> HUT-3 ORIGINAL <br />