Laserfiche WebLink
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 kr ( Program ID# <br /> Facility Address p, - ,� City t,�-pu.. Zip <br /> UST: Dual Wall til Single Wa OVERF LL: Audible Visual_Me anic 1 <br /> PIPING SYSTEM: Dual wall�ingle wall Suction Pressurerav' y <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS -)o <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current H&SC 25284 c <br /> monitoring/maintenance Records 23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) ] <br /> Resuonse Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> ver siDiii C-o—nEainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> EX-Variation Procecture Foiiowect L23UCR-TCT;7e- ) j <br /> STATISTICAL 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 /> Daily Stick Reading c <br /> AUTOMATIC TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> nuasummary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Iankn egri y lest <br /> Tank augi.ng ProcecLure koliowea <br /> PING MONITORING <br /> Daily Suction Pipincr Monitoring r2 R App.III <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annuai EeaxDetector Iest <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Ciosed or Temporar y Closed 23CCR 2670 <br /> REHS H, <br /> , SPION DATE/TYPE: <br /> RECEIVED BY: `ZC PHONEr��� ,.J R/ 7,s <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGEof <br /> PHS 260 (4/98) <br />