Laserfiche WebLink
TANK OIF;ICa ft 94SPWnoN�3RT <br /> PU tX tlMTH SERVICES <br /> I1MMENTAL W-ALTH DIVISION <br /> 445 N.San Joaquin Street <br /> Mailing Addton, Q01 Box 388 �� f <br /> COU�liY NiME ,,�S6 � Stockton,CA sszol-0388 COUNTY # <br /> SITE NAME. S`Z-'A l tON INSPECTION DATE: <br /> SITE ADDRESS: ,({3 i� �o CITY/STATE/ZIP S�ocS�-t c coo <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> n cr- PER#1--+60-OI PER#J'4(00-o3 PER# t-4Z c).- Aic PER#t'4b0-� <br /> lel EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONIE►rrs y 2, <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 _ ~ <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> ,Et�lov_ED_- YES._.__. .MOVED <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> 11-4--- <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 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 37 <br /> TEMPORARY TANK CLOSURE � ,� r} .12 � �, �•=. <br /> f< = <br /> REMOVAL OF RESIDUAL 38 139 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> - POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> 7 <br /> PERMANENT TANK CLOSURE o- <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED <br /> UNAUTHORIZED RELEASE S1 52 <br /> SAMPLING 53 54 �p;►�tt�q SuD .�lScd---�? 11-.__ _ _.__. <br /> IMPROPER ABANDONMENT 155 156 :3 t <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> 57 58 59 <br /> MAJOR J MINOR NO <br /> VIOL VIOL ❑ VIOL❑ <br /> OFFICE: INS P:mak;, k-N k Q C RECEIVED BY: <br /> \ TITLE: jE7 vx.v PHONE: BECK: <br /> 1 <br /> UT-3 White-Original Yellow-Owner's Copy Pink-File Copy 5/88 M <br /> ham..- - 1-- <br />