Laserfiche WebLink
UNDERGROURIn TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> I USAN JOAQUIN HEALTH DISTRICT, <br /> 1601 E. HAZELTON AVE. %4001 <br /> COUNTY NAME STOCKTON, CA 95205 <br /> P ONE NO. 468-3423 COUNTY # <br /> SITE NAME: <br /> �Ge� LC/e *DATEEXP. <br /> : 3- 7-4 fSITE ADDRESS: CITY/STATE/ZIPnCf��CHANGES SITE/OWNER/PERMIT? YES NO TANK TANK ANKFORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTERTYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER UMBERPER# �7yS-U� PER# /7`1S-6ER #EXP.DATE EXP DATE XP DATEOPERATIONAL TANK TANK CONTENTS <br /> MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4APPROVED CONSTRUCTION 5 6 <br /> WRITTEN MONITORING PROCEDURES 7 8 -- <br /> APPROVED MONITORING SYSTEM 9 10 —^ ap- <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 14 (// -- "— <br /> MONITORING RECORDS MAINTAINED 15 16. 7 ( ' p�fe <br /> ACCESS CASING SECURED 17 1g <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 - - _---- <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL W4445 <br /> FLAMMABLE VAPORS REMOVED ACCESS LOCATIONS SEALED POWER DISCONNECTED OWNER/OPERATOR MONffORING <br /> PERLNENTTANK CLOSURE <br /> RE 46 47 <br /> PIPING 48 49 - —_- - _---T� <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 t <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: LIVIZIass.,eiv <br /> MAJOR 57 MINOR 58 NO <br /> VIOL. El VIOL. ❑ VIOL A <br /> OFFICE: INSP: /� 6 RECEIVED BY: <br /> TITLE:�, "�jr. S PHONE: REEK: <br /> HUT-3 ORIGINAL 5/98 OM <br />