COMPLIANCE INFO 1988-2013 - Laserfiche WebLink

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UNDERGROUNIJANK PROGRAM OFFICIAL INSPE&ON REPORT AN JOAQUIN HEALTH DISTRICT 1601 E. HAZELTON AVE. COUNTY NAME STOCKTON, CA 95205 COUNTY # PHONE NO. 468-3423 SITE NAME: All C�'N T2PrCCv�' NSPECTION DATE/ (' d SITE ADDRESS: S S CITY/STATE/ZIP V7C,47d,,j CHANGES SITE YES NO TANK TANK Z TANK 3 TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER b COMPUTER �0 \ COMPUT n TYPE INSPECTION SITE COMPUTER# PER#ER PER BER 1 pQ 0 NUMBER it Cp 1G�" NUMBER X04 4 / ��'S L PER # PER # Q�C EXP:DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK rANKcoNreNrs MAJOR MINOR i - PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 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 17 118 PIPING 19 120 1 - INVENTORY RECONCILIATION 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 35 36 CONDITIONS ABATED 37 TEMPORARY TANK CLOSUREML k REMOVAL OF RESIDUAL 38 39 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 r45 POWER DISCONNECTED OWNER/OPERATOR MONITORING 44 PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 _ FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 �- SAMPLING 53 54 / ! IMPROPER ABANDONMENT 55 56 '4m r`,r07^' l THE MARKED ITEMS REPRESENT V OLATIONS AND MUST BE CORRECTED A SYSTEM STATUS(MUST MARK ONE) FOLLOWS: MAJOR 57 MINOR 58 NO 59 VIOL. VIOL. ❑ VIOL.❑ p�Yl 'ak Sr�,✓ GAG OFFICE: INS P: v (' RE V BY: r47 TITLE: /`��J PHONE: 116 PECK: HUT-3 ORIGINAL �1 sias OM