COMPLIANCE INFO_1986-1996 - Laserfiche WebLink

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ARGROUND TANK OFFICIAL INSPECTION ART ■ SAN JOAQUIN PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION 304 E.Weber Ave.,Third Floor Mailing Address:P.O.Box 388 COUNTY NAME Stockton,CA 95201-0388 COUNTY # 488-3420 SITE NAME: /� /l C INSPECTION DATE: !�z L � SITE ADDRESS: // ,SOO CITY/STATE/ZIP7' 9ks �U CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK Z TANK -TANK .j FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER NUMBER NUMBER NUMBER NUMBER TYPE OF INSPECTION SITE COMPUTER# PER PER# 8 / O PER#6,000 PER 1f Soo EXP.DATE EXP.DATE EXP.DATE EXP.DATE OPERATIONAL TANK TANK CONTENts MAJOR MINOR �e.;;.�'^'� 1+,.` 1; _: "`. � •�:/ PERMIT 10 OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 8 APPROVED MONITORING SYSIEM 9 IU MONITORING SYSTEM 11 112 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 REPAIFJS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD k 35 36 CONDITIONS ABATED 37 • TEMPORARY TANK CLOSURE ` P r� 5 t, REMOVAL OF RESIDUAL' 38 139 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 OWNER/OPERATOR MONITORING 44 45 PERMANENT TANK CLOSURE ? yy t ;. �4R4 +Iri•4it =oaf _F7. .,Pc>:. REMOVAL OF RESIDUAL,MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 54 IMPROPER ABANDONMENT 155 156 THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORR CTED AS SYSTEM STATUS 1MUSr MARK ONE) OLLOWS: 57 58 59 r - LkX/ MAJOR MINOR NO t VIOL. ❑ VIOL. ❑ VIOL. I If 1127' V _ OFFICE: INSP: / RECEIVED BY: PHONE: BECK: T IUT-3 White-Original Yellow-Owner's Copy Pink-File Copy PHS 178 (4/96)