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J <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 6�'' 4 N ((j .Program ID# _0 <br />Facility Address ,� �� City S�irc..k� zip <br />UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />VIOLATION3 <br />QST GENERAL REQUIREMENTS +~,� <br />Permit to O erate [H&SC 252841 <br />orms A& B Current H&S 4 c <br />Monitoring/Maintenance Records f23CCR 2712(b)] <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan r23CCR 2632(d)(1) <br />Unauthorized Releases Re orted [H&SC 252951 <br />Monitoring Equipment Annus Cert. L23CCR 2630 <br />ver spill on alner <br />Cathodic Protection f23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Procedure Foliowed LdJUCK 2646 e <br />NTORY 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 />ai y 1c ea Ing c <br />AUTOMATIC! TANK GAUGING (ATG) <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 egrl y rest <br />lanic Gauging Proceaure F-571owect <br />PIPING MONTTnRTMr <br />Daily Suction Piping Monitoring f23CCR Apt),111 <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years [23CCR 2643(e)] <br />MontTy L1ne Test 23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Remove , C ose or Temporar y Closed t23CCR 2 70 <br />REHS' INSPECTION DATE/TYPE: <br />RECEI D BY: PHONE: <br />PAGE ) of <br />Revised Date 7/15/97 <br />PHS260 (4198) <br />23 CCR UST Regs May 5, 1994 <br />