COMPLIANCE INFO_1986-2004 - Laserfiche WebLink

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ARGROUND TANK OFFICIAL INSPECTION RORT SAN JOAOUIN PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION 445 N. San JoMuin Street WiRUMF Aaaress: 8 kton, CA 95201-0388 It 468-3420 SITE NAME: INSPECTION DATE: SITE ADDRESS: CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO FORM A AND/OR B SUBMITTED? TANKtF COMPUTER NUMBER PER # EXP. DATE TANK 44 COMPUTER NUMBER PER # EXP. DATE TANK COMPUTER NUMBER PER # EXP. DATE TANK COMPUTER NUMBER PER # EXP. DATE TYPE OF INSPECTION SITE COMPUTER # 74 OPERATIONAL TANK PERMIT TO OPERATE TANK CONTENTS MAJOR MINOR 1 2 IMPROPER ABANDONMENT [5:5: 7 57 58 CHANGE IN CONDITIONS TO OPERATE MAJOR MINOR NO o ❑VIOL. ❑ VIOL.❑ VIOL. 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 15 16 ACCESS CASING SECURED 17 18 PIPING INVENTORY RECONCILIATION 19 20 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 Fi- -- ---- - CONDITIONS ABATED TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 37 M a4 Z"ll =,MsE W 38 39 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 OWNER/OPERATOR MONITORING 44 45 PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 PIPING 48 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 SAMPLING 53 IMPROPER ABANDONMENT [5:5: SYSTEM STATUS (MUST MARK ONE) 57 58 59 MAJOR MINOR NO o ❑VIOL. ❑ VIOL.❑ VIOL. OFFICE 47 49 52 54 56 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS ITITLE: & PHONE: 1 809 Hl IT—R White - Original Yellow - Owner's Coov Pink - RIA rmnv BECK: