Laserfiche WebLink
UNDERGROU#j TANK PROGRAM OFFICIAL INS�TION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME PHONETNO. 468 3423 COUNTY #� <br /> SITE NAME: �r7" INSPECTION DAATTE�:L�i�t7 / <br /> SITE ADDRESS: 14U2(2 r CITY/STATE/ZIP�2t!A '/ <br /> CHANGES SITE/O) X�,S NO TANK TANK TANK TANK <br /> FORM A AND/O SUBMITTE . (/ COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER �3 NUMBER NUMBER NUMBER <br /> TYP OF INSPECTION TE COMPUTER# PER# PER# PER# PER# <br /> ?j 2/- EXP.DATE EXl,.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTEMINiR <br /> MAJOR MNOR / <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 _ <br /> APPROVED CONSTRUCTION 5 6 ....�.. <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 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 - _ __ - <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 %371 <br /> APPROVED TANK REPAIRS 31 <br /> UNAUTHORIZED RELEASES REPORTED 33 <br /> SAFETY HAZARD 35 <br /> CONDITIONS ABATED <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 58-F39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED <br /> POWER DISCONNECTED 43 _ <br /> OWNER/OPERATOR MONITORING "45 <br /> C <br /> RMANEN TANK CLOSUREL OF RESIDUAL MATERIALS t48 <br /> 47 <br /> 49FLAMMABL OVED UNAUTHORIZED RELEASE 52 <br /> SAMPLING 54 <br /> IMPROPER ABANDONMENT 56 <br /> THE MARKED ITV R PRES T VIOLATE/QNS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: `� <br /> 58 <br /> MAJOR 57 MINOR NO <br /> VIOL. ❑ VIOL ❑ VIOL. <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE j/�� PHONE: PECK: <br /> HUT-3 ORIGINAL 5/88 O, <br />