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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 /> UNDDrERGRAOUND STORAGE TANK (UST) PROGRAM INSPECCTT2ION REPORT <br /> Facility Name lO.NnY � Program ID# AoV <br /> Facility Address N.. City � Zip <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall S n le wallSuction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR'.-2636 (g) a uirements? YES NO� <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to erste [H&aC 252841 ✓ <br /> orms A & urrent & 25 4 c <br /> Monitoring/Maintenance Records f23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 d 1 <br /> Rpqnonga Plan f2l= 2622 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annus Cert. 23CCR 2630 <br /> ver spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d)] <br /> x- ar a ion Procedure Followed Lae3CCK 2b4f) (e) 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 (ATGI <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 ank Integrity Test <br /> rank GaugingProcedure Followed <br /> Daily Suction Piping Monitoring r23CCR D.II1 <br /> Piping Tightness Test 123CCR 2643 b c d <br /> Gra <br /> Pi in Tested Ever 3Z (23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> Annuai <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closedor Temporar y C ose2b /Ul <br /> 077 <br /> REHS I INSPECTION DATE/TYPE: rj '� 1 7Q� 47 W a <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE <br /> _/_of <br /> PHS 231(OR7) <br />