Laserfiche WebLink
UNDERGROUI' TANK PROGRAM OFFICIAL INSPF' 'TION REPORT <br /> SAN JOAQUIN HEALTH DISTRIC <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME � .� sTdcKTNO CA 952os COUNTY # <br /> Q PHONE NO. 468-3423 <br /> ~� INSPECTION DATE: <br /> /;z 15 SITE NAME: ! J 1 `,3 <br /> SITE ADDRESS: Dom?/� ��� <br /> CITY/STATE/Zi ��-�p,,f C'�17 �00 <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK f TANK 2— TANK�j ��/�► TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF INSPECTION SITE COMPUTER# PER # PER# PER# PER# <br /> 1 l n d,3 7i(e 5 i EXP.DATE' EXP_DATE EXP.DATE EXP.DATE <br /> PERA NA TANK TANK CONTENTS <br /> MAJOR MINOR .. . <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 14 <br /> APPROVED CONSTRUCTION 5 6 1 D (e)� <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 vl <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 6 <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 35 136 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE "� r <br /> , <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED RM 43 _ <br /> OWNER/OPERATOR MONITORING 44NI <br /> 45 <br /> _ �: CK <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 BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: LfL n � <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL. VIOL VIOL❑ <br /> OFFICE: INSP:��r»`Q <br /> r� _s co "A411) <br /> TITLE: 1 OR -s • PH r <br /> HUT-3 ORIGINAL 'l 5r8e @ <br />