COMPLIANCE INFO_1984-1998 - Laserfiche WebLink

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UNDERGROU4TANK PROGRAM.OFFICIAL INSP ,TION REPORT' AN JOAQUIN HEALTH DISTRICT 1601 E. HAZELTON AVE. COUNTY NAME STOCKTON, CA 95205 COUNTY # PHONE NO. 468-3423 SITE NAME: /, INSPECTION DATE: I _ 'LI C� 4r SITE ADDRESS: , 4/o5rrel`� CITY/STATE/ZIP sr-'s, . l'p't CHANGES SITE/OWNER/PERMIT? /YES NO TANK TANK Z -TANK 3 TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBER NUMBER NUMBER TYPERF INSPECTION SITE COMPUTER# PER# PER# PER# PER# fY 7 EXP.DATE EXP.DATE EXP.DATE "EXP.DATE OPERATIONAL TANK TANK CONTENTS MAJOR MINOR PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 8 a APPROVED MONITORING SYSTEM 9 110 MONITORING SYSTEM 11 12 APPROVED MONITOR FREQUENCY 13 / 14 ,r MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 PIPING 19 20 INVENTORY RECONCILIATION 21 22 TANK GAUGING 23 24 APPROVED RESPONSE PLAN 25 26 UNAUTHORIZED RELEASE OCCURRENCE 27 28 � SAMPLING 29 30 - APPROVED TANK REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 36 CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 39 FLAMMABLE VAPORS REMOVED 40 ,___ __._. •_ __ __ ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 _ OWNER/OPERATOR MONITORING 44 45 PERMANENT TANK CLOSUREIBM= REMOVAL OF RESIDUAL MATERIALS 146 147 PIPING 148 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING IMPROPER ABANDONMENT 155 156 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: MAJOR 7 59 MINOR 58 NO VIOL. VIOL. ❑ VIOL.❑ OFFICE: INSP kECEIVED BY: TITLE: '/ S PHONE: =RE HUT-3 ORIGINAL 5/88 0'