Laserfiche WebLink
PERMANENT TANK CLOSURE <br />UAGROUND TANK OFFICIAL INSPECTION AT <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />ENVIRONMENTAL HEALTH DIVISION <br />ME <br />UNAUTHORIZED RELEASE <br />51 <br />445 N. San Joaquin Street <br />SAMPLING <br />53 <br />54 <br />Mailing Address: P.O. Box 388 <br />55 <br />COUNTY NAME <br />Stockton, CA 95201-0388 <br />COUNTY # <br />468-3420 <br />SITE NAME: <br />M fA Aj _40 <br />57 58 <br />59 <br />INSPECTION DATE: <br />SITE ADDRESS: <br />Job <br />F] <br />-44AU= <br />CITY/STATE/ZIP <br />VIOL. VIOL.MINOR <br />VIOL. <br />AiAA,,hr ,a <br />CHANGES SITE/OWNER/PERMIT? <br />YES <br />NO <br />TANK TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER COMPUTER <br />COMPUTER <br />COMPUTER <br />NUMBER NUMBER <br />NUMBER <br />NUMBER <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />PER # PER # <br />PER # <br />PER # <br />EXP. DATE EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TAN <br />TANK <br />CONTENTSK <br />MAJOR MINOR <br />PERMIT TO OPERATE <br />1 <br />2 <br />CHANGE IN CONDITIONS TO OPERATE <br />3 <br />4 <br />APPROVED CONSTRUCTION <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 <br />8 <br />APPROVED MONITORING SYSTEM <br />9 <br />10 <br />MONITORING SYSTEM <br />11 <br />12 <br />APPROVED MONITOR FREQUENCY <br />13 <br />14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />ACCESS CASING SECURED <br />17 <br />18 <br />PIPING <br />19 <br />20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 <br />24 <br />APPROVED RESPONSE PLAN <br />25 <br />26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 <br />28 <br />SAMPLING <br />29 <br />30 <br />APPROVED TANK REPAIRS <br />31 <br />32 <br />I)< <br />UNAUTHORIZED RELEASES REPORTED <br />SAFETY HAZARD <br />Liu <br />CONDITIONS ABATED <br />TEMPORARY TANK CLOSURE <br />me <br />REMOVAL OF RESIDUAL <br />38 <br />39 <br />FLAMMABLE VAPORS REMOVED <br />40 <br />ACCESS LOCATIONS SEALED <br />41 <br />42 <br />POWER DISCONNECTED <br />43 <br />OWNER/OPERATOR MONITORING <br />44 <br />45 <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />-50— <br />ME <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />SYSTEM STATUS (MUST MARK ONE) <br />57 58 <br />59 <br />MAJOR NO <br />I❑I El <br />F] <br />VIOL. VIOL.MINOR <br />VIOL. <br />m <br />I&IS <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: I) g a. S Q; H 6 L. #Aj, <br />IM11*4121 <br />II TITLE: R.S. I PHONE: RECK: <br />HUT -3 White - Original Yellow - Owner's Copy Pink - File Copy <br />i <br />