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PUBLIC: HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />JOAQUiN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name C" N C.'t, kq,(j,�Program ID# 23 kL 66 <br />Facility Addresses %4 W . Lam{- L;p City IRA" zip <br />UST: Dual Wall Single Wall",,,COVERFILL: Audible Vis alMechanical <br />PIPING SYSTEM: Dual wall Single wall-!L.—Suction Pressure ��Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO X <br />VIOLATIONS <br />,r a my ++ <br />UST GENERAL REQUIREMENTS 11446 6 <br />1 14QS <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 />Response Plan r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />Over spiii Container L23CCR 7n75 (TD) i <br />PP-rmjt-f-Pcj UST Repairs r9.=R 26611 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters alibr 2 R 2 4 i <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Procedure Followed L23CCR7=13TT <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 lZeading c <br />AUTOMATIC TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual TanKn egri y Iest <br />I'ank Gauging Procedure PoilowecL <br />PIPING MONITORTUr, <br />Daily Suction Piping Monitoring 23 CR Avy.II1 <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 26437cTT2—TT— <br />Annual EeaKDetector s <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, C ose r Temporar y Closed 23CCR 2670 <br />Revised Date 7/15/97 <br />PHS 231 (9/M <br />INSPECTION DATE/TYPE: <br />•r <br />23 CCR UST Regs May 5, 1994 PAGE I of 2 <br />