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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 Name ( y `65 ,� )e,�'y�yg{� Program ID# )L- :1 TT If <br />CC T p <br />Facility Address ` N cityJ� C� Zip ( 5,RO& <br />UST: Dual Wall ing a Wall OV RFILL: Audible—Visual—Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO:x_— <br />VIOLATIONS <br />ieurn ii <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current LH&SC 25284 c <br />Monitoring/maintenance Records 23CCR 2712 b <br />Financial Responsibility fHrqr 2 <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan 23CCR 2632 d 1 <br />Reanonse Plan r23CC!R 2622(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 UST's Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters Calibrated r23CCR 2646(i)l <br />Monthly variations Calculated [23CCR 2646(d)] <br />x- aria ion Procedure Followed LZJUUK Alb4b 7eTT <br />_2TALTZfiSTZIrAL"1NVZNTORY 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 ReadIng c <br />AUTOMATIC TANK QAUGTwP txmrl <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 an n egri y rest <br />a Gauging Procedure Followed <br />-RTPTNG MONITORING <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years 123CCR 2643(e)] <br />Mont y Line Teat 23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, Closed or Temporar y Closed [23CCR 2 <br />REHS <br />INSPECTION DATE/TYPE: <br />RECEIVED BY: <br />PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_I_of C <br />PNS 231 W97) <br />