Laserfiche WebLink
UNDERGROUlf TANK PROGRAM OFFICIAL INSPWTION REPORT <br />SAN JOAQUIN HEALTH DISTRIC <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 COUNTY # <br />PHONE NO. 468-3423 <br />SITE NAME:/C� <br />�� <br />dl- ✓ <br />_ <br />INSPECTION DATE: 7%7 /?3 <br />38 <br />39 <br />11 12 <br />v0 <br />40 <br />13 14 <br />UNAUTHORIZED RELEASE <br />ACCESS LOCATIONS SEALED <br />15 16 <br />42 <br />53 54 <br />17 18 <br />IMPROPER ABANDONMENT <br />43 <br />SITE ADDRESS: O v <br />OWNER/OPERATOR MONITORING <br />44 <br />CITY/STATE/ZIP <br />Z2 if) <br />23 24 <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO <br />TANK <br />TANK Z <br />TANK 3 <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />29 30 <br />_ ... <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />COMPUT R <br />33 34 <br />35 36 <br />/ 37 <br />NUMBER <br />NUMBER <br />NUMBER <br />NUMBE <br />TYP OF INSPECTION SITE COMPUTER <br /># <br />PER # <br />PER # <br />PER # <br />PER # <br />- <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK <br />TANK CONTENTS <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION 5 6 <br />WRITTEN MONITORING PROCEDURES <br />APPROVED MONITORING SYSTEM <br />MONITORING SYSTEM <br />APPROVED MONITOR FREQUENCY <br />MONITORING RECORDS MAINTAINED <br />ACCESS CASING SECURED <br />PIPING <br />INVENTORY RECONCILIATION <br />TANK GAUGING <br />APPROVED RESPONSE PLAN <br />UNAUTHORIZED RELEASE OCCURRENCE <br />SAMPLING <br />APPROVED TANK REPAIRS <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />CONDITIONS ABATED <br />7 8 <br />REMOVAL OF RESIDUAL MATERIALS <br />_ <br />9 10 <br />38 <br />39 <br />11 12 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />13 14 <br />UNAUTHORIZED RELEASE <br />ACCESS LOCATIONS SEALED <br />15 16 <br />42 <br />53 54 <br />17 18 <br />IMPROPER ABANDONMENT <br />43 <br />19 20 <br />OWNER/OPERATOR MONITORING <br />44 <br />21 22 <br />FOLLOWS: <br />Z2 if) <br />23 24 <br />NO 59 <br />VIOL. ❑ <br />25 26 <br />27 28 <br />29 30 <br />_ ... <br />RECEIVED BY: <br />ai 1ej <br />31 32 <br />TITLE: <br />a M <br />33 34 <br />35 36 <br />/ 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />77- <br />FLAMMABLE VAPORS REMOVED <br />40 <br />77 <br />UNAUTHORIZED RELEASE <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />53 54 <br />POWER DISCONNECTED <br />IMPROPER ABANDONMENT <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />FOLLOWS: <br />Z2 if) <br />MAJORj 57 MINOR 58 <br />VIOL. VIOL. ❑ <br />CI <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />_ <br />PIPING <br />48 49 <br />77- <br />FLAMMABLE VAPORS REMOVED <br />50 <br />_ <br />UNAUTHORIZED RELEASE <br />51 52__w <br />SAMPLING <br />53 54 <br />IMPROPER ABANDONMENT <br />55X 156 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: <br />Z2 if) <br />MAJORj 57 MINOR 58 <br />VIOL. VIOL. ❑ <br />NO 59 <br />VIOL. ❑ <br />OFFICE: <br />INSP: <br />RECEIVED BY: <br />ai 1ej <br />TITLE: <br />PHONE: <br />RECK: <br />HUT -3 ORIGINAL 5/88 UM <br />