Laserfiche WebLink
COUNTY NAME <br /> SITE NAME: L INSPECTION DATE: <br /> SITE ADDRESS. 2 � A /Cv� CITY/STATE/ZIP <br /> CHANCES SITE/OWNER/PERMIT? YES NO TANK -.;7 TANK TANK TANK <br /> WR/PERMIT SUBMITTED ID♦ OUID 0 ID• ID <br /> TYPE Of INSPECTION SITE COMPUTER 0 PER ♦ � PER • PER A PER <br /> / i <br /> t �• EXP.DALE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK MAN. LAIN <br /> PERMIT TO OPERATE 1 1 1 2 <br /> CHANGE IN CONORINNS M OPERATE 31 141 <br /> APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 B <br /> APPROVED MONITORING SYSTEM 0 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FRECUENCY 13 14 <br /> MONRORIING RECORDS MAINTAINED 15 16 <br /> ACCESS CASINO SECURED 17 16 <br /> PIPING 10 20 <br /> INENIORY RECONCILIATION 21' 1221 <br /> TANK GAUGING 23 2t <br /> APPROVED RESP`INSE PLAN 251 1261 <br /> UNAUTHORIZED RELEASE OCCURRENCE 271 26 <br /> SAMPLING 29' JO <br /> APPROVED TANK REPAIRS J1 32 <br /> UNAUTHORIZED RELEASES REPORTED JJ 34 <br /> SAFETY HAZARD JS. 36 <br /> CONO(RONS ABATED J7 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL J8, J9 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41' 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44, 45i <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 461 47 <br /> PIPING 48 49 <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 /> .K)<i 57 58 59 <br /> MINOR NO <br /> MA <br /> VTOL E-1VKIL. ❑ VIOL❑ <br />,S Rh6N LOCAL HEALTH DISTRI NSP RECEIVED BY: <br /> POST OFFICC E30X 2009 <br /> STOCKTON. CALIF, 95201 <br /> AJ-TN: ENVIRON. HEALTH TITLE: PRONE. RECK <br /> O E, 0- <br />