COMPLIANCE INFO_1987-1995 - Laserfiche WebLink

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UN OUND TANK OFFICIAL INSPECTION R SAN JOAQUIN PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION 445 N. San Joaquin Street Mailing Address: P.O. Box 388 COUNTY NAME Stockton, CA 95201.0388 488-3420 SITE NAME: % COUNTY # INSPECTION DATE: SITE ADDRESS: ^ I CITY/STATE/ZIP CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER i COMPUTER COMPUTER TYPE OF INSPECTION SITE COMPUTER # NUMBER % NUMBER NUMBER OPERATIONAL TANK PERMIT TO OPERATE CHANGE IN CONDITIONS TO OPERATE APPROVED CONSTRUCTION WRITTEN MONITORING PROCEDURES APPROVED MONITORING SYSTEM MONITORING SYSTEM APPROVED MONITOR FREQUENCY MONITORING RECORDS MAINTAINED ACCESS CASING SECURED PIPING INVENTORY RECONCILIATION TANK GAUGING APPROVED RESPONSE PLAN UNAUTHORIZED RELEASE OCCURRENCE SAMPLING APPROVED TANK REPAIRS UNAUTHORIZED RELEASES REPORTED SAFETY HAZARD CONDITIONS ABATED TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONITORING PER # PER # PER # EXP. DATE EXP. DATE EXP. DATE TANK CONTENTS MAJOR I MINOR 's> 1 2 TANK COMPUTER NUMBER PER # EXP. DATE 38 39 6 40 46 47 PIPING 5 7 9 8 10 50 UNAUTHORIZED RELEASE 44 45 _,...._ _,.. 11 13 12 14 53 54 IMPROPER ABANDONMENT 55 15 16 18 -------------- _ 17 19 20 22 21 23 25 24��` 26 27 29 28 30 ----------------- 31 33 2 34 .,... .. .... .. 38 39 40 46 47 PIPING 41 42 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 44 45 _,...._ _,.. 52 SAMPLING PERMANENT TANK CLOSURE REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 54 IMPROPER ABANDONMENT 55 56 iYSTEM STATUS (MUST MARK ONE) 57 MINO L El R VIOL..R 58 NO 59 VIO❑ VOL. ❑ TITLE: THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS PHONE: BECK: HUT -3 White -Original Yellow - Owner's Copy Pink - File Copy 5/88 O M