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F PUBLIC HEALTH SERVmfS ° <br /> SAN JOAQUIN <br /> 'M!0-. <br /> e ''.i Sfi <br /> AL <br /> RVICES SAN JOAQIIIN COUNTY <br /> LETITIA BRIGGS,R.E.H.S. HEALTH DIVISION <br /> Senior Registered Environmental Health Specialist Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> Environmental Health Division 304 E.Weber Avenue <br /> (209)468-3468 Third Floor TANK (UST) PROGRAM INSPECTION REPORT <br /> aFAX(209)4688--3433 Stockton,CA 95202 p <br /> �l /7 Program ID# <br /> Facility Address <br /> T City..,J' CSI S"zip ' Q <br /> UST: Dual Wall Single wall OVERFIL udible_Visual Mechanical <br /> PIPING SYSTEM: Dual wall S ngle wall Suction Pressure Gravity <br /> D085 THE LEAK DETECTION SYSTEM meet 23C R 636(g) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL R8 IIIREMHNTS TANK # <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Currenr [ki&SC 25284ibl (c) <br /> Monitoring/Maintenance Records 23CCR 2712 b <br /> Monitorin Records Availabl= (23CCR 2712' <br /> Monitorin Plan 23CCR 2632 (d) (1) ] <br /> Unauthorized Releases Re orted [H&SC 252951 t <br /> Monitoring Equipment Annus1 CEr L23CCR 2630 <br /> ver s i on a>_ner <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> 2f;44 I <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation roce ure o owe e <br /> STATISTICAL INVENTORY RECONCILTAIION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Ever Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> ai y is Reading c <br /> AUTOMATIC TANK GAUGTWQ fa�gl <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGING (MTG) - <br /> Tank Gauging Weekly [23CC1: 2645 (b) I <br /> -=U-1 lankn egri y Iest <br /> au ing roce ure o owe <br /> Daily Suction pivillS NgIlir <br /> Pi in Ti htness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Eve 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to C ose or Cease Operation H&SC 25298 <br /> Remove C ose or Temporar y Ciosea LeJUUX 26701 <br /> _ REHS , ) -1 j(` INSPECTION <br /> 1�7 f.l l'6cf � DATE/TYPE: _ <br /> t0 -Jr�/ <br /> 9 .' w- <br /> RECZ Z-,, n -pTi�'PtJLti,( jerk, C_�}''Y�17'yt <br /> Re ised Date 7/15/9,` 4G` <br /> 7 23 CCR ST Regs May 5, 1994 PAGEJof� <br /> PHS 260 (4/96) _c t-,: - h' ./ ;")- -L, <br />