Laserfiche WebLink
UNDERGROUR'TANK PROGRAM OFFICIAL INSPrl_'ION REPORT <br /> SAN JOAOUIN HEAL DISTRICT', <br /> 1601 E. HAZELTON WE. <br /> COMITY NAME .- �{I PHONE ENO. 4 893 203 <br /> � . STOCKTOCOUNTY # <br /> SITE NAME: �^+ INSPECTION DATE:-,/, <br /> Cu o 'fe A)Off v l 0.010^,4 fes? <br /> r . <br /> SITE ADDRESS: CAA r CITY/STATE/ZIPee- <br /> CHANGES SITE/OWNER/PERMIT?QYEV NO TANK { TANK TANK TANK <br /> FORM A AND/OR B SUBMITTED? EJB' COMPUTER 1 COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTE R# <br /> PER # PER# PER# PER# <br /> fw Rt4movze I EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS Law <br /> MAJOR MINOR a <br /> PERMIT TO 6PERATE 1 2 I� <br /> CHANGE INICONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 I� <br /> WRITTENPONITORING 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 23 124 <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 I� <br /> SAFETY HAZARD 135 36 <br /> CONDITIONS ABATED 37 <br /> ON WTEMPORARY TANK CLOSURENNER'Noll <br /> ., > . ... ... �: .PP <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 � I� m <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 � <br /> OWNER/OPERATOR MONITORING 44 45WX <br /> .IM. <br /> PERMANENT TANK CLOSURE :•„ 4 <br /> .: ..:.. 0--amtis <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 N I� <br /> PIPING 48 49 I� <br /> FLAMMABLE VAPORS REMOVED 50 4x==7 <br /> �� <br /> UNAUTHORIZED RELEASE 51 52 r <br /> SAMPLING 53 54 I� <br /> IMPROPER ABANDONMENT 155 56 j� M <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS[MUST MARK ONE) FOLLOS: `'#'� �9 T' / Ct✓, /��Sf� %j`�'� II <br /> 57 59 <br /> MAJOR MINOR 58 NO �/ <br /> VIOL. ❑ VIOL. ❑ VIOL.El J� I <br /> IM ; <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT---3 FILE COPY Sias OM <br />