REMOVAL_1993 - Laserfiche WebLink

Home Browse Search

UNDERGROUM TANK PROGRAM OFFICIAL INSPtTION REPORT SAN JOAQUIN HEALTH DISTRICl711" 1601 E. HAZELTON AVE. STOCKTON, CA COUNTY NAME Q �� Q PHONE NO. 468-3423 CONNTY # SITE NAME: 1.JQ��/ f .UZGL�IYICU(� INSPECTION DATE: �/Q0 SITE ADDRESS: ? � CITY/STATE/ZIP /�`� ✓ G� CHANGES SITE/OWNER/PERMIT? YES NO TANK / TANK TE ANK � COMPUTER TANK FORM A AND/OR B SUBMITTED? UMBER MPUTER UMBER UMBER UMBBERER M U � UNUMBER TYPE OSA A IN�SPE,O-fI N SITE COMPUTER#� P R# R# P R# PER# ��w v �/ E DATE E P.DATE E/ DATE EXP.DATE TANK CONTENTS OPERATIO AL TANK MAJOR MINOR j f � 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 re -_- - © - -X13 APPROVED MONITOR FREQUENCY 13 14 -- , MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 16 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 131 32 - UNAUTHORIZED RELEASES REPORTED 33 34 _. SAFETY HAZARD ------- CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 36 39 - fl- PERMANENT FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 42POWERDISCONNECTED OWNER/OPERATOR MONITORING 4545 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 A THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: - AJOR 57 MINOR 8 NO 59 VMIOLLtff VIOL. ❑ VIOL.❑ OFFICE: INSP: RECEIVED BY: TITLE'5eyn H's PHONE: BECK: 5/88 C HUT-3 ORIGINAL