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0 <br />0 <br />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 STORAGES"/'T TANNK,�((UUSp�T)- PROGRAM INSPECTION REPORT <br />.,6 �,k� V Program ID# d3 / (o" ] <br />Facility Name�/�.Cl, I g <br />Facility Address a"LOIP E • L.o City, %fes UG 1 A2K Zip 9.�a o <br />UST: Dual Wall Single Wall OVERFILL: Audible Visual_ Mechanical <br />PIPING SYSTEM: Dual wall_ ingle wall, 1p/ -Suction <br />Pressure_Gravity <br />DOES THE LEAK DETSCTION SYSTEM meet 23CCR 2636(g) �irements? YES_NO>< <br />VIOLATIONS <br />TANK # <br />UST GENERAL REQUIREMENTS <br />Permit to O erate [H&SC 25284] <br />Forms A & B urrent Lii&SC 25284 c <br />Monitorin Maintenance Records f23CCR 2712 b <br />Monitorin Records Available 23CCR 2712 <br />Monitorin Plan 23CCR 2632(d)(1)] <br />gpqnon.qp Plan F23CCR 2632(d)(2)1 <br />E17E <br />Unauthorized Releases Re orted [H&SC 252951 <br />Monitoring Equipment Annua Cert. 23CCR 2630 <br />over spiii container [23CCR 2635(b)] <br />Cathodic Protection C23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -Variation Procedure PoIIowee)j <br />ATATT9TICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 123CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1(])] <br />ai y is ea ing c <br />AUTOMATTC! TANK GAUGING (ATQ) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />-Annuai ATu summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging weekly [23CCR 2645(b)] <br />Annual rankn egri y Iest <br />-Tank Uauging ProcecLure o owe <br />PIPING MQNTTQRINQ <br />Daily Suction Piping Monitoring 12 R AOy.IT1 <br />Piping Tightness Test r23CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years [23CCR2643(e)] <br />Mont ly Line Test 23CCR f643(c)2 <br />Annuaie <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removeal Closea Closeor Temporar y Closed 23CCR 2670 <br />REHS INSPECTION DATE/TYPE: `- V /_ a�•v"' <br />RECEIVED BY: - _!;7 ^ PHONE: ,;�9D <br />Revised Date / 5/97 23 CCR UST Regs May 5, 1994 PAGE__Lof_ <br />PHS 260 (4/98) <br />