COMPLIANCE INFO_1986-1999 - Laserfiche WebLink

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-� UNDERGROUN�AZiA4NK PROGRAM OFFICIAL INSPE ON REPORT y o )g:-- WN 'WN JOAOUIN HEALTH DISTRICT 0 " 1601 E. HAZELTON AVE. COUNTY NAME STOCKTON, CA 95205 COUNTY # PHONE NO. 468-3423 SITE NAME: IGt� �I SA v 9 INSPECTION DATE: SITE ADDRESS: 205-7 ( F L pow -PO CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK Z TANK 3 TANK FORM A AND/OR B SUBMITTED? COMPUTERCOMPUTI)R okaj COMPUTE21 b p 0 COMPUTER TYPE OF INSPECTION SITE COMPUTER# NUMBER 17,06 NUMBER U NUMBER �l NUMBER h PER# PER# iJ�lJ PER# P�-a v PER# gv / 'e l �(! 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 APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED Ex16 _ ACCESS CASING SECURED 17 18 - PIPING 19 20 INVENTORY RECONCILIATION 21 X.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 33 134 . m_ - SAFETY HAZARD 35 136 _ w..._.._,.... __.w. CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 q43 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 54 IMPROPER ABANDONMENT 155 156 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: S 2CJ Z 57 58 59 MAJOR MINORNO VIOL. VIOL. ❑ VIOL.❑ oe OFFICE: INSP: RECEIVED BY: TITLE: if ONE; N RECK: HUT-3 ORIGINAL 5/88 0M