Laserfiche WebLink
UNDERGR. -;F� TANK PROGRAM OFFICIAL INF' `TION REPORT <br /> SAN JOAQUIN HEAL DISTRICT <br /> i 1601 E. HAZELTON AVE. <br /> COUNTY NAME SCl yv -b CL STOCKTON, CA 95205 <br /> PHONE NO. 468-3423 <br /> COUNTY #,3 <br /> SITE NAME: - Q� <br /> `$C INSPECTION DATE: <br /> SITE ADDRESS: ¢ � a s� ��,f CITY/STATE/ZIP C,4 (�aa <br /> CHANGES SITE/OWNER/PERMIT?? YES NO�TJANK��. TANK TANK TANK/ <br /> FORM A AND/OR B SUBMITTED? COMPUTER COMPUTER COMPUTER COMPUTER <br /> TYPE OF INSPECTION SITE COMPUTER# NUMBER NUMBER NUMBER NUMBER <br /> D RPER <br /> G/1"Ii <br /> �l PER # PER # PER# <br /> �/LLlC3'�v� i# <br /> EXP DATE EXP DATE EXP DATE <br /> _x EXP DATE <br /> TANK CONTENT$ �` OQr'" ,s+�.�«,,,, c <br /> OPERATIONAL TANK �.x `: _1 <br /> MAJOR MINOR � WIN <br /> PERMIT TO OPERATE - ,a", -.- . <br /> 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4APPROVED CONSTRUCTION 5 g <br /> WRITTEN MONITORING PROCEDURES 7 8 <br /> APPROVED MONITORING SYSTEM 9 10 — -- — -- <br /> MONITORING SYSTEM 11 12 --------- -- <br /> APPROVED MONITOR FREQUENCY 13 14 — <br /> MONITORING RECORDS MAINTAINED 75 16 — —� — -- —— <br /> ACCESS CASING SECURED 17 18 — --- _ <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 _—_— <br /> APPROVED RESPONSE PLAN 25 26 �_.__—.-- _.—.___..-ti__.._ _ . _.._.__.__.__. <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING <br /> 29 30 _.— <br /> APPROVED TANK REPAIRS 31 32 _ — —____ - —----- --.---._. <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD <br /> 35 36 <br /> CONDITIONS ABATED <br /> 37 <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 _— - -- — --- _.. <br /> ACCESS LOCATIONS SEALED 41 42 <br /> POWER DISCONNECTED 43 <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> �;`=� �" L�--�:^ <br /> REMOVAL OF RESIDUAL MATERIALS <br /> 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 —�`�_� <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 <br /> IMPROPER ABANDONMENT — — �— — - <br /> 55 56 _---__.,._-_ <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) <br /> FOLLOWS: <br /> MAJOR 57 MINOR NO 59 } <br /> VIOL. ElVIOL. ❑ VIOL.❑ <br /> OFFICE: INSP n ' Q b� rS <br /> u, (p <br /> IS-/- <br /> q � <br /> in <br /> TITLE:c��'Ir����� PHONE RECK: <br /> AA <br /> �_ r ~ L�4 <br />