REMOVAL_FEBRUARY 1993 - Laserfiche WebLink

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UNDERGROU ' TANK PROGRAM OFFICIAL INS TION REPORT SAN JOAQUIN HEALTH DISTRIClT 1601 E. HAZELTON AVE. COUNTY NAME rn �q � PHOCKTON, CA ONE NO. 468 3423 COUNTY # SITE NAME: t;)Mr k Ac' INSPECTION DATE: 7 � SITE ADDRESS: l3 5 � C�7- CITY/STATE/ZIP LTT CHANGES SITE/O T ? YES NOTANK TANK TA K TA FORM A AND/O B SUBMITTED? COMPUTER COMPUTER C PUTER CO PUTER TYPEAF INSPECTION //nJJ SITE COMPUTER# NUMBER NUMBER MBER N BER / J�Z^� PER# PER# ER# R# / J EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK TANK CONTENTS MAJOR MINOR 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 1g - PIPING 19 20 -" 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 UNAUTHORIZED RELEASES REPORTED 33 34 - --- _--- - - SAFETY HAZARD -i5 ----- ----- 36 CONDITIONS ABATED 37 - TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 39 - FLAMMABLE VAPORS REMOVED 40 -- -___-. ACCESS LOCATIONS SEALED 41 42 - -'-- --"- - POWER DISCONNECTED 43 -- - OWNER/OPE 44 45 ERMANENT TANK CLOSURE REMOVA ESIDUAL MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 '----- -`--- UNAUTHORIZEDRELEASE 51 52 - SAMPLING 53 54 IMPROPER ABANDONMENT THE MARKED ITEMS REPRESEN VIOLATIONS AND MUST BE ORRECT D AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: A MAJOR 57 MINOR 58 NO 9 VIOL F] VIOL. ❑ VIOL. OFFICE: INS RECEIVED BY: TITLE: _ PHONE: RECK: HUT-3 ORIGINAL