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PUBLIHEALTH 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 /> FacilityNam �W �e-U ;ll e-t /�}�(� �1 U -7 <br /> .r.a.. 'f/`..'r n,�,..1sa Program ID# //��' /�''1� ] l �q <br /> Facility Address 67 1 /Q � 4_( City S]`p c ff4ar . zip / J� <br /> QST: Dual Wall Single Wall OVER ILLAudible 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 /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current LH&SC 25284 c <br /> Monitoring/Maintenance Records r23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Regnonse Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. L23CCR 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)Meters Calibrated 123CCR <br /> V <br /> i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure FOiiowee) j <br /> _fiTATISTICAL 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 Reacting c <br /> AUTO TANK GAUGING fATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> nuaSummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y test <br /> fanK uaugingroce ure FoIIow=e <br /> Daily Suction Pii)ing Monitorincf r23CCR <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> u <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2670 Ja rp <br /> R13HS B INSPECTION DATE/TYPE: <br /> RECEI D BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_Lof <br /> PHS 231("79 <br />