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0 • � <br /> •� f '7 � <br /> PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY y <br /> ENV IRQNMENTAL HEALTH aI V I S I ON <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 f I, 'r � 4 , o�-(L.i. Program ID## -C 3 1 q61 M1_ <br /> Facility Address f � City I -. �tilp- <br /> IIST; Dual Wall Single Wal OVERFILL; Audible Visual Mechanical <br /> PIPING SYSTI3M: D al wa11�Single wall Suction Pressure Gravity <br /> DOES THE LEAK DE3TECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO—'K: <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current [H&SC 25284_ c <br /> Monitorin Maintenance Records r23CCR 2712 b <br /> Financial Resnongi-bility 1HF,9C 2c;9.92 2 (a) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Response Plan F21CCE 2632 (d) t2) l <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annus Cert. 23CCR 2630 <br /> Over sPill Container L23CCR 2935 (b) ] <br /> r <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23cCg 264E (I) i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followee) j <br /> STATISTICAL INVENTORY RECODTCILIATIQN (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646 .1 (d) ] <br /> UST Intecrrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> ai y Stick Reading c <br /> AUT0ATTC TANK QAjjQTbTG (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging weekly [23CCR 2645 (b) ] <br /> Annuai Tanxn egri y rest <br /> ianX Gauging Procedure Foiiowea. <br /> PIPING MnNTTnRTNr. <br /> n <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Pi2ing Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annuai <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation LH&SC 25298 <br /> Removed, Closed or Temporar y C ose [23CCR 2670 <br /> RENS .L. � ,- r; CINSFECTION DATE/TYPE: /- 7�- Y 7J <br /> t �AP3iONE: <br /> Re ised Da e /1 23 CCR UST Regs May 5, 1994 PAGE_/_of <br /> PHS 2 (419 ) ' ] 4 <br /> Fi0 B � -�-�� �!'�'�'?',�, �iA7 ��-1 <br />