Laserfiche WebLink
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 DoMOTTjrC) Program ID# <br /> Facility Address -7-+qq ;S,E[ bxmdq City��'��Zip <br /> UST: Dual Wall Singe Wa11y�OVERFILL: Audible_Visual Mechanical <br /> PIPING SYSTEM: Yual wall Single wall Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to erate [H&SC 252841 <br /> orms A & urrent LH&SC 25 c <br /> onit rin Maint nance Records r23CCR 2712 (b) ] <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 d 1 <br /> Ren2nnse Plan r22CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23CCR 2630 <br /> ver spill on ainer <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procedure Followed L23UCH 2646te) j <br /> STATISTICAL 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 /> al y is ea ing c <br /> AUTOMATIC TANK GADGTNG (ATG1 <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ummary Tregiort <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645(b) ] <br /> nual 'ranK Integrity es <br /> uank Gauging Proceaure kollowea <br /> Suction Piping Monitoring r23CCR App,III <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 OF <br /> H&SC 25298 <br /> Remove ose or Temporar y osed L23CCR 2670 <br /> REH INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_I_of7i <br /> PHSM1(M <br />