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PUBLI�HEALTH SERVICES SAN JOAQUIN 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. Gj'V4llo � n, -.,rt, -gym Tnu <br />Facility Address Z®& S 4 --'al i City _zip 9�Zcj) <br />UST: Dual Wall Single Wall OVERFILL: Audible_ visual <br />_Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />maw "— <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />orms A & B Current H&SC 2 c <br />M nitorin Maintenance Records 23C R 271 b <br />Monitorin Records Available 23CCR 2712 <br />Monitorin Plan 23CCR 2632(d)(1), <br />Response Plan r23QVR 2612(el)(2)1 <br />Unauthorized Releasee Re orted [H&SC 252951 <br />Monitoring Equipment Annua Cert. 2 CCR 2630 <br />Ove s > on ainer <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously 123CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- ar a ion Procedure Foliowed L23CUR 264b(e <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily stick Reading c <br />AUTOMATIC TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual n egri y rest <br />a augin r e ure Foiiowea <br />PIPING MQMTTORTMG <br />Daily Suction Piping <br />Pij)inq Tightness Test 23CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years [ 23CCR 2643(e)] <br />Mont y Line Test 23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or as Operation H&SC 25298 <br />—ffemove ose or Temporar y oseaC R 7 <br />REHS �iP,E INSPECTION DATE/TYPE: <br />RECEIVED BY: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_of <br />PHS 231 (07) <br />