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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 />UNDERG UND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name '(G��rogram ID#_ <br />Facility Address � f ' �,. City -&J C�iC Zip <br />UST: Dual wall Single Wall__V OVERFILL. Audible 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 />mawry u <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current [H&SC 25284 c <br />Monitoring/Maintenance Records 23CCR 2712 b <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632(d)(1) <br />Resiponse Plan F2-4CCR 2632 (CI) (2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. CR 2630 <br />Over spill on ainer L23CCR 2635(b)] <br />Cathodic Protection r23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters i t 2 i <br />Gauging Stick in -12.B Inches r23CCR 264e(c)(j)(F)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -Variation Procedure I-'ollowed L23CQ:R 2646 (e) <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 Reading c <br />AUT MATIC TANK GATTQTNa (ATO) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary epor <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual Tankn egri y es <br />Tank auging Proceaure oliowecL <br />Dail Suction Piping Monitoring 2 R AjDy.IT1 <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643 c 2 <br />AnnuRl EeaX <br />TANK REMOVAL <br />Permit to Close or Cease Operation rH&SC 25298 <br />Removed, closed or Temporar y C ose 23CCR 2670 <br />REHS ! INSPECTION DATE/TYPE; !` f <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE r of <br />PHS 231 (9197) <br />