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C <br />PUBLI HEALTH SERVICES SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave.,20ir Fl 3420 Stockton, CA 95202 <br />( <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name Program ID# <br />Facility Address G�rj i7 City S 1 Zip <br />dible Visual <br />UST: Dual Wall Single Wall OVERFILL: Au_ Mechanical <br />PIPING SYSTEM: Dual wall_Single wall Suction Pressure_ Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements VIOLATIONS <br />TANK # <br />UST GENERAL R8 UIREMENTS <br />Permit to O ate [H&SC 252843 <br />orms & B Crate <br />H& C 25 4 c <br />Moni orin Ma'nt nance Records 23CCR 2712(b <br />MoniLtiorKiaa Records Available 23CCR 2712 <br />Monitorin Plan 23CCR 2632 d 1 <br />Unauthorized Releases Re orted [H&SC 252951 <br />Monitoring Equipment Annua Cert. 23CCR 2630 <br />ver s i on ainer 123 <br />Pprmitt-pd UST <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <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 kollowe e <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Inteqritv Test Every Two Years 23CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily Stick Reacling c <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ummary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual ranxn egri y lest <br />lanic Uaugingroce ure k'ollowea <br />PTPTNr MONITORING <br />Daily i n Pivincr Monitoring r23CCR <br />Piping Tightness Test 123CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years [23CCR 2643(e)] <br />Mont y Line Test 23CCR 2643 c 2 <br />Annual <br />TANK REMOVAL <br />or Cease Operation H&SC 25298 <br />Removed, Closedor Temporar y Closed [23CCR 26701 <br />RENS '-7%�EVJE'�.+-PNSPECTION DATE/TYPE: L' 'L -/r <br />:2/,n <br />RECEIVED BY: <br />PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE /of Z <br />PHS 291(W) <br />