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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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name j -X%C1=.�?wl �JD�n k. Facility ID# 2'S�''A <br /> Facility Address R•154 S 'QOeyk City -�LDC��+e�J Zip <br /> Facility Phone # Fa— cility Contact Ss4 (n <br /> Inspection Date: Inspection Type: 0Aft�7n <br /> UST: Dual Wal Ingle Wall OVERFILL: Audible_ Visual—Mechanical— <br /> UST <br /> isu 1_Mechanical_UST Monitoring Alternative UST Contents a S []l <br /> PIPING SYSTEM: Dual Wall Sing e Wall Suction Pressure Gravity <br /> Does the leak de ection system shut off the 15ump automatically? YES_ NO_ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS 1113 0 111q% <br /> Permit to Operate [H&S 252841 <br /> Forms A & b Curren c <br /> Monitoring/Maintenance Recoras <br /> Financial Responsibility [H&S 25292.2 (a) ] <br /> monitoring Records Availanie L2.3UUR 2 /121 <br /> monitoring an <br /> Response Plan L23CUR 2632 727- <br /> Unautnorizea Releases Reported 7H&S 25295J <br /> Monitoring Equipment Annual Test L23CUR 2bSUMTr <br /> ver spill on ainer <br /> Permitted UST Repairs 23CCR 2661 <br /> Permitted Upgrades [23CCR 2660] <br /> catnodic Protection a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.1] <br /> Annual MIR Report L23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Dailv Stickreadinq t23CCR 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 /> integrity esever wo ears <br /> AnnualSIR Report 23CCR 2646.1 <br /> Daily sticK Reaaing c <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthl ATG Results [3CCR 2643 (b) (1) ] <br /> Annua ATG Summar Report 23CCR 2712 2 <br /> MANUAL T TANK GAUGING <br /> Tank Gau in Weekl 123CCR 2645 (b) ] <br /> Annua Tan Integrity Test 23CCR 2645 <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring 23CCR A .II] <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.IV(1) (d) j <br /> SYSTEM STATUS: Major Violations ,, n No Violations <br /> COMMENTS:� `7�1e� I y' <br /> REHS: RECEIVED BY: <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />