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0 0 <br /> PUBLIC HEALTH SERVICES SAN UOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> 209/468-3420 <br /> UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Namel.� '�� II`,SoC. J Lw,,"i C' Facility <br /> ID# 3 <br /> Facility Address City zip ef�` YZ Ccs <br /> Facility Phone Fa,6ility Contact�r'k�„ zy(f a� j dx �CzIL <br /> Inspection Date: - r' Inspection Type: <br /> UST: Dual Wa11Single Wall_ OVERFILL: Audible_ Visual Mechanical <br /> UST Monitoring/Alternative Lit, rLlLC1, i UST Co tents <br /> PIPING SYSTEM: Wall Single Wall Suction Pressu e Gravity <br /> Does the leak detection system shut off the pu automatically? YES_ No <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK #FE - <br /> Permit <br /> to Operate [H&S 25284] <br /> orms curren c <br /> ons Orin azn enance Records <br /> [23CCR 2712TBTT- <br /> -Ti-nancialResponsibility [H&S 25292 .2 a <br /> monitoring Records Avaliabie <br /> Monitoring Plan <br /> Response Plan 23CCR 2632 (d) (2) ] <br /> UnauthorizedReleases Reported H&S 25295 <br /> Monitoring Equipment Annual Test 23CCR 2630 <br /> ver spill on ainer <br /> Permitted UST Repairs 23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> Cathodic ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.1] <br /> Annual MIR Report 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Dailv Stick reading CR 44 c 1 <br /> -GaugingStick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported 23CCR 2646.1 (d) <br /> Integrity es every two years <br /> Annual SIR Report L23CCR 2646.1 <br /> Daily 6t1cX Reauirig c <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthly ATG Results [3CCR 2643 (b) (1) ] <br /> Annual ATG Summary Report L23CCR 2712 (b) (2) ] <br /> MAIUAL UST TANK GAUGINGT <br /> Tank Gauging Weekl [23CCR 2645 (b) ] <br /> Annua -Tank Integrity Test 23CCR 2645 <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring [23CCR A .II] <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> Gravity Piping es a every 2 years L23CCR 2643 (e) J <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual ea etec or test pp. <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMM7NTS: <br /> REBS: RECEIVED BY: <br /> TITLE: �� PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />