Laserfiche WebLink
0 <br />4 <br />SITE NAME: <br />lcc� <br />G <br />NSPECTKIN DATE: <br />SITE ADDRESS: <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMR'? <br />YE <br />NO <br />TANK pm17w TANK <br />MFR/PERMTT SUBMITTED <br />TYPE OF INSPECTION SITE COMPUTER • <br />1D, o, ID ♦ o • <br />u <br />PER PER • PER • PER • <br />EXP DATE EXP. DATE EXP. DATE EXR GATE <br />OPERATIONAL TANK <br />MAd. <br />MN <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHMGE N CONOMONS TO OPERATE <br />9 <br />t <br />APPROVED CONSTRLcnON N <br />e <br />e <br />VVRRTEN MONMXW a PROCEDURESN <br />7 <br />e <br />APPROVED MONITORING SYSTEM E <br />9 <br />f0 <br />#At =n <br />MOPITTORNO SYSTEM 0PEWITIavAL-E- <br />11 X <br />12 <br />APPROVED MONITOR FREOUENCY N <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED 6 <br />16 <br />ACCESS CASINO SECURED Al <br />1e <br />PIPING <br />121. <br />20 <br />INVENTORY RECONCILIATION E <br />22 <br />TANK DAUGM E <br />23 <br />24 <br />APPROVED RESP()NSE PLAN N <br />25 <br />29 <br />- <br />UNAUT/Of�ED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />APPROVED TANK REPAIRSj <br />l <br />32 <br />UNAUTHORIZED RELEASES REPORTED <br />17 <br />Jt <br />SAFETY HAZARD <br />35, <br />36 <br />CONDITIONS ABATED <br />J7Flo <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />38. <br />0g <br />FLAMMABLE %11PORS REMOVED <br />NO <br />ACCESS LOCATIONS SEALED <br />t 1 - <br />42 1 <br />POWER DISCONNECTED <br />±21— <br />OWNER/OPERATOR <br />OWNER/OPERATOR MONITORING <br />u <br />45' <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46, <br />t7 <br />' <br />PIPING <br />dg <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 1 <br />m <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />531 <br />54 <br />IMPROPER ABANDONMENT <br />55' <br />58 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />SYSTEM STATUS IST MARK ONE <br />MV <br />wy bPRESENT <br />A -T <br />FOLLOWS. IL - -[Ac 5dj' r� <br />MA" 57 MINOR SB 59 <br />NO <br />VIOL ❑ ❑ <br />VIOL VIOL <br />PMA1 IN LOCAL HEALTH DISTRII <br />NSP: <br />RECEIVED BY: <br />POST OFFICIT BOX 2009 <br />S <br />STOCKTON. CALIF, 95201 <br />Af it I L <br />PHDJE �p(�- 3L"., <br />RECK <br />ff.TN: ENVIRON. HEALTH <br />TSE: �ITpQ�l�� <br />