Laserfiche WebLink
UNDERGROUMTANK PROGRAM OFFICIAL INSP ION REPORT <br /> VPSAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: a CJ INSPECTION DATE: <br /> SITE ADDRESS: -0 <br /> © CITY/STATE/ZIP <br /> 9CHANGES SITE/OWNER/PERMIT? YES NO TANK ( TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE C PUTERJ# PER# PER# PER# PER# <br /> EXP.DATE EXP ATE EXP. TE EXP. TE <br /> OPERATIO AL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <br /> 7 <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 151 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 .20 <br /> INVENTORY RECONCILIATION 21 2 <br /> TANK GAUGING 23 V 24 w <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> FIRM <br /> �r <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 " <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLO E <br /> REMOVAL OF RESIDUAL MATERIALS 46 ;49 <br /> PIPING 48 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 -� <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJOR VVIOL.' <br /> MINO58 NO 59 <br /> VIOL. ❑ VIOL.❑ <br /> OFFICE: INSP:/'� RE C IV D BY: <br /> TITLE.e, IRECK: <br /> . X7- ° <br /> HUT-3 ORIGINAL 5/88 0� <br />