Laserfiche WebLink
UNDERGROUlf TANK PROGRAM OFFICIAL INSP&TION REPORT <br /> SAN JOAQUIN HEALTH DISTRICIMW <br /> 0 1601 E. HAZELTON AVE. <br /> COUNTY NAME STOCKTON, CA 95205 COUNTY # <br /> PHONE NO. 468-3423 C3 F <br /> SITE NAME: �z -*C:q 13 Q INSPECTION DATE: <br /> SITE ADDRESS: T?66 /fir O D& eiCITY/STATE/ZIP �, ft�''`1 7041e) <br /> CHANGES SITE YES NO TANKTANK TANK TANKlf(,� <br /> FORM A AND/OR B SUBMITTED? COMPUT R COMPUTER COMPUTER COMPUTER // <br /> NUMBER NUMBER NUMBER NUMBER <br /> TYPE OF PECTION SITE COMPUTER# PER# PER# PER# PER# <br /> r YLR-® EXP.DATE E TE EX"ATE EXP AT <br /> OPER IONAL TANK TANK CONTENTS. <br /> MAJOR MINOR MINIM <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN CONDITIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 5 6 <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 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 19 20 M <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 38 t427 <br /> FLAMMABLE VAPORS REMOVED ID 40 <br /> ACCESS LOCATIONS SEALED 41 POWER DISCONNECTED _ <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48 49 <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 51 52 <br /> SAMPLING 53 54 <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: <br /> MAJORE] <br /> MINOR 58 NO 59 <br /> VIOL. VIOL. LJ VIOL. <br /> OFFICE: INSP���J,i; <br /> ry- vtee4 r � <br /> TITLE: to_r PHON . f VE <br /> HUT-3 ORIGINAL 5/88 0M <br />