COMPLIANCE INFO_1986-2003 - Laserfiche WebLink

Home Browse Search

e PERMANENT TANK CLOSURE�1� ERGROUND TANK OFFICIAL INSPECTION ORT SAN JOAQUIN PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION PIPING 48 49 445 N. San Joaquin Street FLAMMABLE VAPORS REMOVED 50 Mailing Address: P.O. Box 388 COUNTY NAME Stockton, CA 95201-0388 COUNTY OUNTY # SAMPLING 53 154 SITE NAM ` INSPECTION DATE: / THE MARKED ITEMS REPRESENT VIOLATIONS A D MUST BE CORRECTED AS FOLLOWS: SYSTEM STATUS (MUST MARK ONE) / SITE ADDRESS: ^1 / CITY/STATE/ZIP -- -' CHANGES SITE/OWNER/PERMIT? YES NO TANK 94067 TANK TANK TANK FORM A AND/OR B SUBMITTED? COMPUTER/®� COMPUTER NUMBER NUMBER PER # ®� COMPUTER NUMBER COMPUTER NUMBER TYPE OF INSPEC ION SITE COMPUTER # 2 131D ®a�� ER # PER # PER # EXP. DATE EXP. DATE EXP. DATE EXP. DATE OPERATIONAL TANK TANK CONTENTS Mm MAJOR MINOR PERMIT TO OPERATE 1 2 CHANGE IN CONDITIONS TO OPERATE 3 4 APPROVED CONSTRUCTION 5 6 WRITTEN MONITORING PROCEDURES 7 8 APPROVED MONITORING SYSTEM 9 10 MONITORING SYSTEM 11 12 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 REPAIRS 31 32 UNAUTHORIZED RELEASES REPORTED 33 34 SAFETY HAZARD 35 136 CONDITIONS ABATED 37 TEMPORARY TANK CLOSURE � k REMOVAL OF RESIDUAL 38 39 FLAMMABLE VAPORS REMOVED 40 ACCESS LOCATIONS SEALED 41 42 POWER DISCONNECTED 43 OWNER/OPERATOR MONITORING 44 45 PERMANENT TANK CLOSURE�1� REMOVAL OF RESIDUAL MATERIALS 46 47 PIPING 48 49 FLAMMABLE VAPORS REMOVED 50 UNAUTHORIZED RELEASE 51 52 SAMPLING 53 154 IMPROPER ABANDONMENT 1.55 156 THE MARKED ITEMS REPRESENT VIOLATIONS A D MUST BE CORRECTED AS FOLLOWS: SYSTEM STATUS (MUST MARK ONE) MAJOR 57 MINOR 58 NO 59 VIOL. VIOL. ❑ VIOL. ❑ OFFICE: INSP:RECEIVED v TITLE: .� ,/J ® PHONE: REC HUT -3 White - Original Yellow - Owner's Copy Pink - File Copv sins C� m