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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 AZ�rl— Facility ID# 46-b I <br /> Facility Address < vo. wy$8� City /oc Zip <br /> Facility Phone # - Facility Contact <br /> Inspection Date: Inspection Type: _ <br /> UST: Dual Wall_,>v Singlie W ll OVERFILL: Audible_ Visua _Mechanical_ <br /> UST Monitoring Alternative UST Contents <br /> PIPING SYSTEM: V Dual Wall Single Wall Suction Pressure Gravi`t�' <br /> Does the leak del/ection system off the pump automa ically? YES_ NO y� <br /> TANK # (Z <br /> VIOLA ONS 77-- <br /> VST GENERAL REQUIREMENTS FF <br /> Permit t0 Operate [H&S 252841 <br /> Forms A & B current c <br /> one orinain enance ecor s <br /> Financia Response i ity [H&S 25292.2 a <br /> monitoring Recoras Available <br /> monitoring Plan <br /> Response Plan L23CCR 2632 (d) (2) ] <br /> Unauthorized Releases Reported H& 25295] <br /> Monitoring Equipment Annual Test 23CCR 2630 <br /> ver spill on ainer <br /> Permitted UST Repairs L23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> Catnodic Protection a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.11 <br /> Annual MIR Report L23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Daily tic rea in CR 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 ' es every two years <br /> Annual SIR Report L23CCR 2646.1 <br /> Daily 6ticx Reacing c <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthl ATG Results [3CCR 2643 (b) (1) ] <br /> Annua ATG Summary Report 23CCR 2712 (b) (2) ] <br /> MANUAL UST TANK GAUGING MT <br /> Tank Gag in Weekl [23CCR 2645 (b) ] <br /> Annua Tan Integrity Test 23CCR 2645 (b) ] <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring 123CCR APP.III <br /> Piping Tightness Test 123CCR 2643 (b) , (c) , (d) ] <br /> Gravity Piping este every 2 years L23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual ea a ec or test L23CCR App.lV(1) (d) ] <br /> SYSTEM STATUS: Major Violations No Violationsq �'` <br /> COMMENTS: Nf7 �!/L D/.4 i/OI�F7 T.t��� .C�/ I.PL �J-!�77-4P <br /> REHS: Ff-lCyEj} — RECEIVED BY: G!/ <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />