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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 STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name� � /Program ID# �� �� J <br /> V I <br /> Facility Address 17,4� (j ��jt,�y«µ/ / city 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 /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to Op, <br /> erste [H&SC 252841 <br /> orms & B urrent LH&SC 25284 (b) (c) ] <br /> Monitoring/Maintenance Records F23CCR 2712 b <br /> monitoring Records Available 123CCR 2712 <br /> Monitorin Plan 23CCR 2632 (d) (1) ] <br /> Resnonse Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment Annus Cert. k23CCR 2630 <br /> ver spill on ainer <br /> PP <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated [23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procedure Followed 123CM 2b4bke) j <br /> TATISTICAL 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 /> ai y Stick Re—aRrl—ng c <br /> AUTOMATTr 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 n n egri y es <br /> ianr uauging -Proceaure kollowea <br /> PIPING MQNTTQRTXQ <br /> DailV Suction Piping Monitoring r23CCR Ax)p III <br /> Piping Tightness Test f23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years 123CCR 2643 (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, os" or Te porar y ose 23 R 29-707 <br /> REHS ,I,N,SPECTTIION DATE/TYPE: 17 <br /> RECEIVED BY: PHONE: O <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE__Lof <br /> PHS 260 (4/96) <br />