Laserfiche WebLink
UNDERGROUND TANKaOGRAM OFFICIAL Inn N REPORT <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />SITE NAME'® INSP DATE: _ <br />SITE ADDRESS 2Lfl cel C/S/L <br />CHANGES SITE/OWNER/OPER 7 <br />YES_. NO _ M.FE R. SUBMXT. <br />TANK I TANK TANK TAN <br />ID Vpap4, U11_ ID N. _...(l i ID N_ _ _ _ ID N tvas-k oil <br />PER N10PER N ®®o A PER N 5, (. PER N <br />EXP DATE EXP DAW EXP DATE .. EXP DATE <br />SITE COMP. N Lf -17 <br />TYPE OF INSP <br />v <br />Oi'!'RATIOt" WOLATI0l6 <br />1. Permit to Operate <br />2. Change in Cond. to Operate <br />3. Approved Construction <br />4. Written Monitoring Procedures <br />S. Approved Monitoring System <br />b. Monitoring System Operational <br />70 Approved Monitoring Frequency <br />S. Monitoring Records Maintained <br />9. Access Casing Secured <br />10. Piping <br />ivInventoryReconciliation <br />Tank Guaging <br />13. Approved Response Plan <br />14. Unauthorized Release Occurrence <br />16. Approved Tank Repairs :. <br />17. Unauthorized Releases Reported <br />18 Safety Hazard <br />19. Conditions Abated <br />20. Removal of Residual Materials <br />21. Flammable Vapors Removed <br />22. Access Locations Sealed <br />23. Power Disconnected <br />24. Owner/Operator Monitoring <br />]fr CLOSM <br />25. Removal of Residual Materials <br />26. Piping <br />27. Flammable Vapors Removed <br />28. Unauthorized Release <br />29 Sampling <br />30. Improper Abandonment <br />M,® s s 44 <br />°" p <br />I. a <br />1771111111 L111L=1Z 11111771777'1111111111 <br />t <br />UZI LZ LZ L 7177E 7T <br />-~--- <br />\r ed items r present violations and at be corrected es follows: <br />Ue r <br />f�B�t O <br />® J <br />rh <br />NSP: RECETV"M BY - <br />WrldA AIN LOCAL HEALTH DISTRIoffi 1 \ <br />POST OFFICE BOX 2009 <br />STOCKTON. CALIF. 95201 TI X: <br />ATTN: ENVIRON. HEALTH 1 <br />