Laserfiche WebLink
UNDERGROU TANK PROGRAM OFFICIAL INS P ION REPORT <br /> WSAN JOAQUIN HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. <br /> COUNTY NAME 5 STOCKTON, CA 95205 COUNTY # 3 9 <br /> n .JOQ PHONE NO. 468-3423 <br /> SITE NAME: w=m v INSPECTION DATE: �-20-92- <br /> SITE <br /> ADDRESS: �v [,, ;� /&Z4, " CITY/STATE/ZIP L/ �5�.j <br /> CHANGES SITE/O // - YE NO 1p/TANK $ TANK TANK TANK <br /> FORM A AND/O B SI IRMITTE&I2 D2 COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECT N TE COMPUTER# NUMBER B19�Z NUMBER NUMBER NUMBER <br /> U"77 <br /> Q PER# ✓ PER# PER# PER# <br /> / EXP.DATE EXP.DATE EXP.DATE EXP.DATE <br /> OPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 � M <br /> WRITTEN MONITORING PROCEDURES 7 8 _n <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 d <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 24 <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 35 36 _ _ _ <br /> CONDITIONS ABATED 37 � � _ ___n.a � <br /> TEMPORARY TANK CLOSURE `Y ; <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> LPERMANENT TANK CLOSU <br /> RE ERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 156 <br /> THE MARKED ITEMS RtPRESENT VIOLATI NS AND MUST BE QORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS:58V <br /> MAJOR 57 MINOR NO 9 <br /> VIOL. ❑ VIOL. ❑ VIOL. <br /> OFFICE: INSP: RECEIVED BY: <br /> TITLE: PHONE: BECK: <br /> HUT-3 ORIGINAL 5/88 O <br />