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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 ?/ <br />STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />!? <br />Facility Name - / � Z- Program IS/D#`,, <br />Facility Address 31P I✓ Cl� City G,_.ao / Zip <br />UST: Dual wail Single Wallke OVERFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />VIOLATIONS <br />Y <br />QST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A& B Current [H&SC 25284(b)(c)] <br />Monitoring/Maintenance Records r23CCR 2712 b <br />Monitorin Records Available 23CCR 2712 <br />Monitorin Plan 23CCR 2632(d)(1 <br />Unauthorized Releases Re orted [H&SC 25295] <br />Monitoring Equipment Annua Cert. 23CCR 2630 <br />ver spill on ainer <br />Cathodic Protection f23CCR 2635 a 2 A <br />New USTS Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- aria ion Procedure Followed [23UCR 2646(e)] <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1all I <br />Annual SIR Report 123CCR 2646.1(j)] <br />Daily is ea ing c <br />AUTOMATIC TANK GAUGING (ATC.') X <br />Monthly ATG Results [23CCR 2643(b)(1)] VU <br />Annual ATG Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual ank Integrity iest <br />ianK uauging Proceaure kolloweQ <br />PTPTNQ MONITORING <br />Piping Tightness Test r23CCR 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 Cease Operation H&SC 25298 <br />Removed Closedor Temporar y Closed [23CCR 70 <br />REHS INSPECTION DATE/TYPE: <br />RECEIVED BY: ounnrr. <br />Revised Date 7/15/97 <br />PHS 260 (4/98) <br />23 CCR UST Regs May 5, 1994 PAGE—of— <br />