Laserfiche WebLink
UNDERGROL' TANK PROGRAM OFFICIAL INS' ,TION REPORT <br /> `�SAN JOAQUIN HEALTH DISTM <br /> 1 T E. ONC IDN AVE. <br /> STOCKTON, CA 95205 � 3 <br /> PHONE NO. 46a-3423 <br /> srm NAME: INSPECTION DATE:§L47 <br /> SITE ADDRESS: 'OV3 Y3 N. 1 sNdo sTATE/z!P � r c/g ?54;?C6� <br /> CHANGES SITE/OWNER/PERMIT? YES NO T� TAN�/j �., TANK TANK <br /> ORM A AND/OR B SUBMITTED? COkf"JMR COMnmR <br /> TYPE OF CTION �I SITE COMPUTER+FQ P'p'#a ?a9 �X&3q <br /> / EXP.DAIS EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANmm CoNalm <br /> FP <br /> 4 <br /> PERMIT TO OPERATE 1 2 ��---- <br /> CHANGE IN CONornONS TD OPERATE 3 4 — <br /> APPROVED CONSTRICTION 5 S __--- <br /> WRITTEN MOWrORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONnORING SYSTEM 11 12 <br /> APPROVED MONITOR FREOUENCY 13 14 <br /> MONffORING RECORDS MAI VdNED 15 16 <br /> ACCESS CASNdG SECURED 17 19 <br /> PIPING 19 2D <br /> INVENTORY RECONCILIATION 21 122 <br /> TANK GAUGING 23 124 <br /> APPROVED RESPONSE PLAN 25 25 <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 135 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE y �+ <br /> REMOVAL OF RESIDUAL 36 139 <br /> FLAMMABLE MkPORS REMOVED 40 Mom <br /> ACCESS LOCATIONS SEALED 41 42 _— <br /> POWER DISCONNECTED 43 — <br /> OWNER/OPERATOR MONITORING 44 145 <br /> PERMANENT TANK CLOSURE . , <br /> REMOVAL OF RESIDUAL MATERIALS 4$ 147 <br /> t <br /> PIPING; 48 49 <br /> FLAMMABLE LMPORS REMOVED 50 — <br /> UNAUTHORIZED RELEASE 51 52 <br /> i <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT AND MUST BE CORRE AS <br /> SYSTEM SIXI LZ(MUST MARK ONE) F <br /> 1 <br /> 57 58 59 <br /> vl ❑ v� ElVIOL Cl <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHONE. BECK: <br /> area <br /> HUT-3 ORIGi <br />