Laserfiche WebLink
UNDERGROUK"TANK PROGRAM OFFICIAL INSl''�rION REPORT <br /> ,SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> °'COUNTY NAME C«/VL J-0�' STOCKTON. CA 95205 couuy # 3 <br /> C� PHONE NO. 468-3423 <br /> � I <br /> SITE NAME: D-nf �� /�uZ v;G INSPECTION DATE: <br /> SITE ADDRESS: "�S •� CITY/STATE/ZIP <br /> CHANGES SITE/OWNERc/PERMIT? YES NO TANK Q TANK 14&W TANK TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION 517E <br /> NUMBER . ,may NUMBER NUMBER Q NUMBER <br /> COMPUTER#� pER # 1 QjPER* � V PER# �UPER# <br /> r �� � EXP.DATE EXP.DATE EXP.DATE EXP,DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK <br /> MAJOR 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 - <br /> APPROVED MONITOR FREQUENCY 13 1 <br /> MONITORING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 -' 18 <br /> PIPING �/�oc.� Q��sS, 19 20 -- <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 =✓ _ - T _ <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 135 13c, ------ <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 35 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED Em43 <br /> OWNER/OPERATOR MONITORING 144 45 �- <br /> PERMANENT TANK CLOSURE I <br /> REMOVAL OF RESIDUAL MATERIALS 46 147 <br /> PIPING 48 49 - - _ _-•_ �_-..�._" w._ ___—_ - -- <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 BE CORRECTED AS <br /> SYSTEM STATUS{MUST MARK ONE) FOLLOWS. J-�IGfJ <br /> MAJOR 57 <br /> MINOR NO a <br /> VIOL VIOL, VIOL. <br /> OFFICE: INSC �4_ -,¢-� /�_ t/yje S. <br /> C� �iGi�+ <br /> TITIP, a� PHCK: y� <br />