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14W v <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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name C&n GLA-a a Facility ID# 2 41S <br /> Facility Address City D -zip 71' <br /> ' <br /> Facility Phone # 4FacilitylContact 1k{ Q�a/u <br /> Inspection Date: Inspection Type: t eu� <br /> UST: Dual Wall_ Single Wall OVERFILL: Audible_ ViN suall_Mechanical_ <br /> UST Monitoring Alternative UST Contents I ,U11 L d e- . � <br /> PIPING SYSTEM: Dual Wall_I.Single Wall Suction Pressure Gravity <br /> Does the leak detection system shut off the pump automatically? YES_ NO_ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&S 252841 <br /> Forms A & B Curren c <br /> one orin ain enance ecor s L23CCR 2712 (b) ] <br /> Financial Responsibility LH&S 25292 .2 a <br /> monitoring Recoras AvailaiDie 123UCR 27121 <br /> monitoring Plan <br /> Response Plan L23CCR 2632 2 <br /> Unauthorized Releases Reported & 5 <br /> Monitoring Equipment Annual Test L23CCR 2630 <br /> ver spill on ainer <br /> Permitted UST Repairs 23CCR 2661 <br /> Permitted Upgrades [23CCR 2660] <br /> Cathodic ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.11 <br /> Annual MIR Report 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> DaiIV Stick reading CR 44 c 1 <br /> Gauging Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported 23CCR 2646.1 (d) <br /> UST integrity es ever wo ears <br /> AnnualSIR Report 23CCR 2646.1 7 <br /> Daily SticX Reaaing c <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthly ATG Results [3CCR 2643 (b) (1) ] <br /> Annua ATG Summar Report t23CCR 2712 2 <br /> MANUAL UST TANK GAUGINGMT <br /> Tank Gau in Weekl [23CCR 2645 (b) ] <br /> Annua Tan Integrity Test 23CCR 2645 <br /> PIPING MONITORING <br /> rFaily Suction Piping Monitoring 123CCR App.III <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> Gravity Piping es a every 2 years e <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual ea a ec or test L23CCR App.lV(1) (ct) ] <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: �� £ -Sp►g*_ <br /> RENS. RECEIVED BY: <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />