COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNDERGROU TANK PROGRAM OFFICIAL INSP�TION REPORT SAN JOAQUIN HEALTH DISTRIG 1601 E. HAZELTON AVE. COUNTY NAME PONE NO.ON, CA -3423 COUNTY # �/`--s PHONE NO. 468-3423 SITE NAME: �� I INSPECTION DATE: SITE ADDRESS: J ! CITY/STATElZIP j/ j??/ L�j (I CHANGES SITE/OWNER/PERMIT? YES NO TANK p TANK TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBER NUMBER NUMBER TYPE OF INSPECTION SITE COMPUTER# PER# PER# PER# PER# ` - 30 EXP.DATE EXP,DATE EXP.DATE EXP.DATE OPERATIONAL TANK TANKAI CONTENTS MAJORRINOR 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 11 112 APPROVED MONITOR FREQUENCY 13 114 _... MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 PIPING 19 20 __ w INVENTORY RECONCILIATION 21 22 TANK GAUGING 23 24 APPROVED RESPONSE PLAN 25 26 -- -- -_ UNAUTHORIZED RELEASE OCCURRENCE 27 128 SAMPLING 29 130 APPROVED TANK REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 36 _.... _- CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 139 FLAMMABLE VAPORS REMOVED 40 — ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 ___ OWNER/OPERATOR MONITORING 44 45 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 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLOWS: a 59 MAJOR MINOR ❑ NO VVIOL, VIOL. VIOL. OFFICE: INSP: RECEIVED B T TITLE: Pwon1� � � RECK: HUT-3 ORIGINAL � 5/88 OM