COMPLIANCE INFO 1986-2007 - Laserfiche WebLink

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UNDERGROUNDIWK PROGRAM OFFICIAL INSPECON REPORT JOAQUIN HEALTH DISTRICT jW 1601 E. HAZELTON AVE. STOCKTON, CA 95205 COUNTY # 39 COUNTY NAME PHONE NO. 468-3423 --p�^ INSPECTION DATE: SITE NAME: /zA C 1-3 0 o� 2.✓/� C 2 SITE ADDRESS: 13 LV I) CITY/STATE/ZIP- C6 'r'/53-74 CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK TANK FORM AAND/OR B SUBMITTED? COMPUTE2 COMPUTER COMPUTE / COMPUTER NUMBER (/L�R NUMBERI/LRZf NUMBER�leS'e/ NUMBER TYPE OF INSPECTION SITE COMPUTER# PERPER/ PER# �'�(� ! PER# 5OQQ PER# ��,;je, /�W EXP.DATE �1 EXP.DATE C' a EXP.DATE EXP.DATE TANK CONTENTS OPERATIONAL TANK MAJOR MINOR PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 - - --- - --- "—'-_" APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 6 -- APPROVED MONITORING SYSTEM 9 10 _. ------ --'MONITORING SYSTEM 11 12 APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 -- ACCESS CASING SECURED 17 18 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 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 36 CONDITIONS ABATED V11, 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL W444C51 --•----- FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING 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 ND MUST BECORRECTED A SYSTEM STATUS(MUST MARK ONE) FOLLOWS: /!,(It/ I+ZE — / — S U d MAJOR 57 MINOR 58 NO 59 (� 6- S7- ZS lid. VIOL. ® VIOL. ❑ VIOL.❑ S _ d � KS , rAtr4,d ✓ 4 Cp NS OFFICE: INS RECEIVED BY: / ea� TITLE: S p Gr BECK5/B8 0: HUT-3 ORIGINAL