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PUBLIC HEALTH SERVICES SAN JOAQUI4 COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (VST) PROGRAM INSPECTION REPORT <br />Facility Name /L C 4-117 <br />1 Program ID# �IP 50 3 0 <br />Facility Address �y (7J� Z—y✓. �-j>, fa City S �jjZ ck' zip <br />UST: Dual Wall Single Wall OVERFILL• &edible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wa11JCSuctionPressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />�/ <br />VIOLATIONS <br />mau 4 - <br />U <br />ST GENERAL REQUIREMENTS --- •• <br />Permit to O erate [H&SC 252841 <br />Forms A& B urrent LH&SC 25284(b)c <br />Monitorin Maintenance Records r23CCR 2712 b <br />Monitoring Records Available F23CCR 2712 <br />Monitorinq Plan 123CCR 2632(d) 1 <br />Unauthorized Releases Re orted [H&SC 252951 <br />Monitoring Equipment Annua Cert. L23CCR 2630 <br />ver s i on ainer [23CCR 2b35(b)l <br />Cathodic Protection f23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters Calibrated r23CCR 2646(i)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Procedure koiloweQ L2-iUCK 2b4b(e)j <br />STATISTICAL I <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 />AUTOMATIC TANK GAUGING (ATG) <br />Daily Stick Reaoing L23UUX 2b=TF <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 lest <br />I-anic Uaugingroce ure Followect <br />PIPING MONITORING <br />Daily Suction P' <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years [23CCR2643(e)] <br />Mont y Line Test 23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, Closedor Temporar y Closed 23CCR 2670 <br />REHS Jjjl.� --�, INSPECTION DATE/TYPE: r <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 <br />PMS 231 (9197) <br />23 CCR UST Regs May 5, 1994 PAGE —,( -of <br />