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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 /> UNDERGROIIN STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name Program ID# z 664 <br /> Facility Address City S dtn ti1y` Zip <br /> UST: Dual Wall Single Wall OVERBILL: Audible_Visual_Mechanical�/ <br /> PIPING SYSTEM: Dual wall Si gle wall Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO_y/ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL RE IIIREMENTS <br /> Permit to operate [H&SC 252841 <br /> -Forms A & B current [H&SC 25284 (b) (c <br /> Mon itorin Maintenance Records r23CCi 2712 <br /> Monitorin Records Available 23CCR 2712 <br /> Mon Plan 23CCR 2632 d 1 <br /> Resnonne Plan [23CCR 2632 (d) (2) 1 <br /> Unauthorized Releasee Re orted [H&SC 252951 <br /> Monitoring Equipment Annus Cert. [23CCR 2630 <br /> ver spill on ainer 123CCR 26350n) ] <br /> Cathodic Protection r23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> MIR RI-01t r9'Af'('P 2r4r (CgIl <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Gauaina Stick in 1 /A Inches 12'ArrR <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Proceaure Followed LZJCCR 2646te) j <br /> STATIST SIR) <br /> Inconclusive Procedure Followed [23 2646.1(2) <br /> UST Inte rit CCR ]Teat Ever Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> ai y is ea ing LZJUUx Ab4b tC) (l) j <br /> AUTOMATIC TAME rATTVING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANIIAL UST TANK G UGINI ( TG <br /> ) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual n egri y rest <br /> Uanx Uauginq Procedure FoIlowea <br /> Daily Suction Piping <br /> Piving Tightness Test f23CCR 2643 b c d <br /> Gravit Pi in Tested Eve 2 Years [23CCR 2643 (e) ] <br /> Mont0y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close or Cease O erati LH&SC 25298 <br /> Removed, Closed or Temporar y Closed [23CCR-26-7--ol <br /> REHS . INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE f of 7� <br /> PHS 260 (4/98) —�— <br />