Laserfiche WebLink
UNDERGROU TANK PROGRAM OFFICIAL INSP TION REPORT <br />SAN <br />JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />CA. <br />COUNTY NAME �C(,►�,� 3423 COUNTY # <br />PHONETNO, 468 <br />SITE NAME: mc l�� INSPECTION DATE: 9f <br />SITE ADDRESS:3 3 d N j,('p L CITY/STATE/ZIPS '�/ 64- q,5;24 <br />CHANGES SITE/OWNER/PERMIT? YES NO TANK Q TANK TANK TANK <br />FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br />NUMBER NUMBER NUMBER NUMBER <br />TYPE OF INSPECTION SITE COMPUTER # <br />,,..�. n A�p PER # PER # PER # PER # <br />5( -/ <br />�(',J 1 ? EXP. DATE EXP. DATE EXP. DATE EXP. DATE <br />OPERATIONAL TANK TANK CONTENTS <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 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_` .::. <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 v <br />IMPROPER ABANDONMENT 155 156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) FOLLOWS: 6 <br />57 58 <br />5i��, f" e <br />MAJOR MINOR NO <br />VIOL. VIOL. VIOL. <br />OFFIC : <br />RECEIVED BY: <br />TITLE: /� � /„�SPRONE: <br />/ <br />'jRECV <br />HUT-3 ORIGINAL 5/88 ©"" <br />