Laserfiche WebLink
UNDERGROUlV`TANK PROGRAM OFFICIAL INSPF `BION REPORT <br /> - USAN JOAOUIN HEAa � <br /> LTH DISTRICl <br /> ' 1601 E, HAZELTAVE. <br /> COUNTY NAME (' STOCKTON, CA 95205 COUNTY # <br /> JQ�/1 j : 0o -GL1/3� PHONE NO. 468-3423 <br /> SITE NAME: �Pi! � 1e S'� G�o INSPECTION DATE: <br /> SITE ADDRESS: 3,"2s 27 CITY/STATE/ZIP <br /> CHANGES SITE/OWNERR/PERMIT? YES NO TANK C) TANK Q 7. TANK 3 TANK Q <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER 0 NUMBER NUMBER/o-O NUMBER J�a o NUMBER/gQQ <br /> (_ PER# / a PER # PER # PER # <br /> I"ovi I I'v- �Q O EXP-DATE EXP.DATE EXP.DATE EXP,DATE <br /> OPERATIONAL TANK TANK CONTE=NTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6WRITTENMONITORINGMONITORING PROCEDURES 7 B - <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 -- - -�- l <br /> APPROVED MONITOR FREQUENCY 13 14 <br /> MONITORING RECORDS MAINTAINED 15 • 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING �.�.w/t<c� 19 20Ll -- - <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 <br /> UNAUTHORIZED RELEASE OCCURRENCE 2.7 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 38 39 4 - <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 - <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <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 MUST SE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> MAJOR 57 MINOR � NO a <br /> VIOL. VIOL. VIOL. <br /> OFFICE: INS <br /> P: <br /> PF _ <br /> HUT-3 OR GINAL _ lI it i1 J /i �� �In9 O, <br />