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PUBLI 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 �STTO1RAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name Gt�,�- -Fsz.1r- �'t+tet Program ID# 2a' i� Rc-) <br /> Facility Address ?Z=7 A C-k City�Oa�-1 Zip <br /> UST: Dual Wall Single WallOVERFILL: 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 <br /> VIOLATIONS <br /> TANK # tqQnbl <br /> UST GENERAL REQUIREMENTS <br /> Permit to O grate [H&SC 252841 <br /> Forms & B urrent H& 4 c <br /> monitoring/Maintenance Records F23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 d 1 <br /> Regnonse Plan r22CCR 2632 (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 USTS Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Annual MIR Report r2lrrR 99AL4g�-j <br /> Meters Calibrated [23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procedure Followed L23CCR 2b4b (–e77-- <br /> _STATISTICAL <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 /> AUT -TANK GAUGING (ATO) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ummary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual n egri y e <br /> rank Gauging Procedure k0110wea <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring r23CCR <br /> Piping Tightness Test 23CCR 2643 b c d <br /> —GLavit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> t to Close or Cease Operation H&SC 25298 <br /> em vea.� ciosea or Temporar y Closed L23CCR <br /> REH INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE—of <br /> PHS 231a Z <br />