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49 <br />PUBLIC HEALTH SERVICES SAN JOA Q COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name �ap,- Program ID# 2314DS <br />Facility Address r,7(p 6J; Ed City7:FpZip ;)ISS"7L <br />UST: Dual Wall Single WallOVERFILL: Audible Victual Mechanical <br />PIPING SYSTEM: Dual wall Sing e wall \k -Suction Pressure�Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO_ <br />VIOLATIONS <br />u <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current H&SC 25284 c <br />Monitoring/Maintenance Records r23CCR 2712(b)] <br />monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632 (d) (1) ] <br />Res'ponse Plan r23CCR 2632(d)(2)1 \Z <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />Over spiii Container <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters librated r23CCR 2 4 i <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Procedure FoliowecL L23UCR 2646(e)j <br />T CAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1(q)] <br />Annual SIR Report [23CCR 2646.1(j)] <br />ai y Stick Reading c <br />AUTOMATIC TANK GAUGING (ATQ) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annuai ATG Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />nua.L TanK Integrity es <br />Iank Gauging Froceaure FolloweC <br />PIPING MONTTORTNC <br />Daily Suction Piping Monitoring 23 CR Apip.II1 <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test 23CCR 2643 c 2 <br />Annual o <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Remove C se or Temporar y Closed 23CCR 2670 <br />REH <br />,I <br />V INSPECTION DATE/TYPE: � <br />RECEIVED BY: aS� s` PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_ _ofd <br />PHS 231 (9/97) <br />