Laserfiche WebLink
..i <br />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 Name SGL Program ID# .R_3 I9?P g <br />Facility Address *rpn r ljojucity,974br&&y.zip �4 <br />UST: Dual Wall Single Wall OVERFILL udible Visual Mechanical <br />PIPING SYSTEM: Dual wall S ngle wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23C R 636(-) requirements? YES NO'X <br />1/4\A jj <br />UST GENERAL RS UIREMENTS <br />Permit to erste [H&SC 252843 <br />orms & urrent LH&SC 2 . 4 c <br />Monitoring/Maintenance Records 23CCR 2712 <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan 23CCR 2632 d 1 <br />Rennonse Plan f22CCR 2632(d)(2)1 <br />Unauthorized Releases Re orted [H&SC 252951 <br />Monitoring Equipment Annua Cert. 23CCR 2630 <br />Over spill on ainer <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters Calibrated r23CCR 2646(ill <br />Monthly Variations Calculated [23CCR 2646(d)) <br />Ex -Variation Proceaure Foliowea rr=-'2b4b(-eTT <br />-2ZLTj&=9AL INVENTORY RECONCILIATION (SIR) <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 Read—in—g7nccRc <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual Summary R6Tor <br />MANUAL UST TANK GAUGING (NTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual nK integrity es <br />Tanic Gaugingroce ure Followea <br />App.H-1— <br />Piping Tightness Test 123CCR 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,ose or emporar y ose 70 <br />INSPECTION DATE/TYPE: -a ` <br />23 CCR tST Regs May 5, 1994 PAGE_L_of_,I. <br />gsac y- 6-(C) GIC40� 43d 6 <br />Revised Date 7/15797 <br />?Hs 260 (4/98) St G Kv&"L <br />