COMPLIANCE INFO_1985-1992 - Laserfiche WebLink

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UNDERGROUNDU JK PROGRAM OFFICIAL INSPEO N REPORT JOAQUIN HEALTH DISTRICT 1601 E. HAZELTON AVE. STOCKTON, CA 95205 COUNTY NAME PHONE NO. 468-3423 COUNTY # SITE NAME: A, C [A L4- INSPECTION DATE: SITE ADDRESS: 7Ar T le�ct, �D CITY/ST I Ck 5 , 7C CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK Of A K �(� TANK � FORM A AND/OR B SUBMITTED? COMPUTER COMPUTE COMPUT R COMPUTER NUMBERI NUMBER 'QflOd NUMBER(ZOW NUMBE�0O TY �P 10 SITE COMPUTER# PER# j PER# PER# PER# ` !Y (` EXP.DATE / EXP.DATE XP.DATE EXP.DATE ' OPERATIONAL TANK ANK CONTENTs MAJOR MINOR PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 8 APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 1.1 12 APPROVED MONITOR FREQUENCY 13 14 MONITORING RECORDS MAINTAINED 15 16 ACCESS CASING SECURED 17 18 PIPING 19 20 INVENTORY RECONCILIATION 21 22 TANK GAUGING 23 24 � APPROVED RESPONSE PLAN 25 26 UNAUTHORIZED RELEASE OCCURRENCE 27 28 SAMPLING 29 30 APPROVED TANK REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 �Np SAFETY HAZARD 35 36 CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE REMOVAL OF RESIDUAL 38 39 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 .ri. - OWNER/OPERATOR MONITORING 44 45 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 55 156 THEMVD ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS SYSTEM STATUS(MUST MARK ONE) FOLLO e5 tnU b 1�; !d' ® F 57 58 59 MAJOR VIOL. ❑ VIOL.R ❑ VIOL.® Oti S _ O OFFICE: INSP: RECEIVE j A TITLE. PHONE: BECK: 3 1 a HUT-3 ORIGINAL 5/68 a M