Laserfiche WebLink
L IGROUND TANK OFFICIAL INSPECTION IRT <br /> SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> s4S N.San Joaquin Sheet <br /> Maatnq Address: P.O.Box 388 <br /> COUNTY NAME Stockton,CA 95241-0388 COUNTY # <br /> 4883420 <br /> SITE NAME. -7�4 <br /> �� �� INSPECTION GATE:1-2 <br /> SITE ADDRESS: (0 a't ��° 9 G CITY/STATE/ZIP <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK AN TANK <br /> FORM A AND/OR B SUBMITTED? COMPUTERCOMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER/(J-1-01 NUMBER 14,011-62 NUMBER/4,o o-03 NUMBER 160q-C_ <br /> PER# PER * PER* PER * <br /> EXP.DATE EXP.DATE EXP.DATE EXP.OATE <br /> OPERATIONAL TANK TMIC CONIEN'm '"'" - _ <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 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 RECONCIUATION 21 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 26 - <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 128 <br /> SAMPUNG 2g 30 <br /> APPROVED TANK REPAIRS 31 32 — — ------ — <br /> UNAUTHORIZED RELEASES REPORTED <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 -- —-- _— — --. <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 _— <br /> ACCESS LOCATIONS SEALED 41 142 _ — <br /> POWER DISCONNECTED 43 _ <br /> OWNER/OPERATOR MONITORING 44 145 <br /> PERMANENT TANK CLOSURE - `,�, '"' <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 _- <br /> PIPING 48 49 <br /> FLAMMABI E VAPORS REMOVED 50 _ <br /> I UNAUTHORIZED RELEASE 51 52 <br /> SAMPUNG 53 54 - - <br /> IMPROPER ABANDONMENT 55 156 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: tea- 00-12---' <br /> MAJOR 57 MINOR 58 NO 59 <br /> VIOL ❑ VIOL VIOL❑ <br /> i <br /> OFFICP: INSP: RECE1 BY: <br /> TITLE. C - P40NE. RECK: <br /> HUT—; N!ne-Oroinrl Yalk+w-Owners Cany Pink-=4e C ov <br />