Laserfiche WebLink
UORGROUND TANK OFFICIAL INSPECTION FORT <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joequin Street <br />Matting Address: P O. sox 388 <br />COUNTY NAME Stockton, CA 95201.0388 <br />488.3420 COUNTY # <br />SITE NAME: a INSPECTION DATE:, <br />SITE ADDRESS: CITY/STATE/ZIP <br />CHANGES SITE YES NO TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? COMPUTER _ <br />COMPUTER <br />COMPUTER <br />COMPUTER <br />TYPE OF INSPECTION SITE COMPUTER # NUMBER <br />NUMBER <br />NUMBER <br />NUMBER <br />fPER # <br />PER # <br />PER # <br />PER # <br />/A I; s' EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />EXP. DATE <br />OPERATIONAL TANK TANK CONTE Nrs <br />SAMPLING <br />53 <br />MAJOR MINOR <br />IMPROPER ABANDONMENT <br />PERMIT TO OPERATE 1 2 <br />7-1-11 7 <br />CHANGE IN CONDITIONS TO OPERATE 3 4 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MI S1 RFGORRFCTF1) AS � <br />iYSTEM STATUS (MUST MARK ONE) <br />APPROVED CONSTRUCTION 5 6 <br />FOLLOWS: _-- __;_ <br />67 58 <br />59 <br />........ ....... I - -11 <br />WRITTEN MONITORING PROCEDURES 7 8 <br />MAJOR MING NO <br />APPROVED MONITORING SYSTEM 9 10 <br />VIOL. VIOL. VIOL. <br />MONITORING SYSTEM 11 12 <br />APPROVED MONITOR FREQUENCY 13 14 <br />MONITORING RECORDS MAINTAINED 18 <br />ACCESS CASING SECURED 17 18 <br />PIPING 19 120 <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 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 />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MI S1 RFGORRFCTF1) AS � <br />iYSTEM STATUS (MUST MARK ONE) <br />FOLLOWS: _-- __;_ <br />67 58 <br />59 <br />MAJOR MING NO <br />VIOL. VIOL. VIOL. <br />OFFICE: INSP:RE LVED BY: <br />7 <br />TITLE: - PHON j REEK <br />HUT -3 White - Original Yellow - Owner's Copy Pink - File Copy <br />