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PUBLIC 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 <br /> Facility Name Ad{ 4q program ID#1��a J/l <br /> Facility Address.3133 IV /t /4r � PGC City <br /> UST: Dual Wall Single Wall OVERFILL: Audible VisualMechanical <br /> PIPING SYSTEM: Dual wall Single wall_)<_Suction Pressure_2�_Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to O erste [H&SC 252841 <br /> Forms A & B urrent 1H&SC 25284 c <br /> Monitoring/Maintenance Records 23C R 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 d (1 <br /> Response Plan r23C!C!R 2619 (d) (2) 1 <br /> Unauthorized Releasee Re orted [H&SC 252951 <br /> Monitoring Equipment Annus Cert. L23CCR 2630 <br /> ver a I on ainer <br /> Cathodic Protection r23CCR 2635 a 2 A <br /> New USTS Monitored Continuously [23CCR 26301 /� <br /> MANUAL INVENTORY RECONCILIATION (MIR) I G- <br /> Meters Calibrated F23CCR 2646 (i) l <br /> Monthly variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procedure Foliowea LaeSQUK 2646 (e) ] <br /> STATISTICAL INVENTORY RXrONCTTLjAZLQN_.L%U&j.. <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST—M—tegrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report 123CCR 2646.1(j)] <br /> ai y Ic ea Ing c <br /> AUTOMATIC! TANK GAUGING (ATrl <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 a n egrl y es <br /> an auging Proceaure Followed. <br /> 212MR9 MONITORING <br /> Pip ncr Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Llne Test 23CCR f643 (c 2 <br /> TANK REMOVAL <br /> Permit to C ose or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporarly Closed 123CCR 2670J <br /> REHS ig INSPECTION DATE/TYPE: <br /> cl 1f <br /> RECEIVED BY: PHONE: '1 <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE�of <br /> PHS 260 (4/88) <br />