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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 /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name rr'� Program ID# PRO G /&2 q3 <br /> Facility Address3-5— F, Cit -' <br /> itZip�Q� <br /> UST: Dual Wall Single Wall OVER ILL: Audib a isual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall '*_Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) lequirements? YES NO_Z� <br /> VIOLATIONS <br /> UST GENERAL R8 IIIREMENTS TANK # <br /> 11 <br /> Permit to erate [H&SC 252843 <br /> Forms A & Current & 5 4 c <br /> Monitoring Maintenance Rec rds 123CCR 27 2 b <br /> Monitorinq Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 d 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> er spill on ainer lg&3CCR 2635 (b) ] <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion roce ure o owe e <br /> STAT19TICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed 23CCR 2646.1 (d) ] <br /> UST Inte rit Test Eve Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j)] <br /> ai y Ouiueauing c <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGINI WG)Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual anx integrity <br /> ranx Uauginq Procedure k-ollowea <br /> Daily Suction Piping Monitoring 123CCR Apy,111 <br /> Piping Tightness Test r23CCR 2643 b c d <br /> —Grav1t Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed [23CCR--2-6-nj <br /> RENS '#5 INSPECTION DATE/TYPE: / –1 –O "% <br /> RECEIVED BY: PHONE: t <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE ! of <br /> � <br /> PHS260 (4/98) <br />