Laserfiche WebLink
w <br />UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br />WISAN JOAQUIN HEALTH DISTRICIW ,39 <br />1601 E HAZELTON AVE <br />COUNTY NAME San J <br />STOCKTON, CA 95205 <br />COUNTY #� <br />139 <br />PHONE NO. 468-3423 <br />47 <br />40 <br />SITE NAME: <br />ACCESS LOCATIONS SEALED <br />49 <br />INSPECTION DATE: 4 <br />42 <br />SITE ADDRESS: Z C?D <br />wN�fi <br />CITY/STATE/ZIP <br />G�5� ✓ `.. <br />� <br />F <br />OWNER/OPERATOR MONITORING <br />CHANGES SITE/OWNER/PERMIT? YES TANK j� ` <br />TANK p -ZTANK <br />p TANK 0 <br />53 <br />=ORM A AND/OR B SUBMITTED? K5 <br />COMPUTER <br />COMPUTER <br />COMPUTER COMPUTER <br />56 <br />TYP OF IN PECTION COMPUTER # <br />NUMBER <br />NUMBER <br />NUMBER NUMBER <br />�Z31d Z/ <br />57 <br />59 <br />61 <br />of In-c�SIJE <br />f <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE EXP. DAT <br />VIOL. <br />OPERATIONAL TANK TANK <br />CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE 1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE 3 <br />4 <br />APPROVED CONSTRUCTION 5 <br />6 <br />WRITTEN MONITORING PROCEDURES 7 <br />8 <br />APPROVED MONITORING SYSTEM 9 <br />10 <br />MONITORING SYSTEM 11 <br />12 <br />APPROVED MONITOR FREQUENCY 13 <br />14 <br />MONITORING RECORDS MAINTAINED 15 <br />16 <br />ACCESS CASING SECURED 17 <br />18 <br />PIPING 19 <br />20 <br />INVENTORY RECONCILIATION 21 <br />22 <br />TANK GAUGING 23 <br />24 <br />APPROVED RESPONSE PLAN 25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 <br />28 <br />SAMPLING 29 <br />30 <br />APPROVED TANK REPAIRS 31 <br />32 <br />UNAUTHORIZED RELEASES REPORTED 33 <br />34 <br />_ <br />SAFETY HAZARD 35 <br />36 <br />CONDITIONS ABATED /,, <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38 <br />139 <br />FLAMMABLE VAPORS REMOVED <br />47 <br />40 <br />_ <br />ACCESS LOCATIONS SEALED <br />49 <br />41 <br />42 <br />POWER DISCONNECTED <br />UNAUTHORIZED RELEASE <br />43 <br />OWNER/OPERATOR MONITORING <br />52 <br />44 <br />45 N� <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 POOL <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECT AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />1 <br />57 <br />59 <br />61 <br />MAJOR MINOR H <br />VIOL. <br />NO <br />VIOL. <br />VIOL. <br />OFFICE: I INSP: <br />TITLE:% PHONE: <br />NUT -3 ORIGINAL <br />5/88 O t <br />