Laserfiche WebLink
UNDERGROUN' :ANK PROGRAM OFFICIAL INSPE^'ION REPORT <br /> 'AN JOAQUIN HEALTH DISTRICT S.v <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 <br /> SITE NAME: /s7�l ��� ` <br /> !/ ��p NN yINSPECTION DATE: <br /> SITE ADDRESS: Q M�t�bN �/ CITY/STATE/ZIP A w-r4 <br /> CHANGES SITE YES NO TANK! ` -� TANK 2, TANK TANK 7 J <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTERNUMBER NUMBER NUMBER NUMBER <br /> ( # PER# PER# PER# PER# <br /> EXP_DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR I MINOR <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 TM <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 29 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL _ 38r45 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 <br /> POWER DISCONNECTED ' <br /> OWNER/OPERATOR MONITORING 44 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MU62,-A <br /> �T,BE ORRECTED AS Q <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: 2' ` 2,A / <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. ❑ VIOL. El VIOL. sti <br /> OFFICE: INSP: `iy RECEIVED BY: <br /> TITLE: SNS PHON : RECK: <br /> HUT-3 ORIGINAL sine OM <br />