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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 <br /> OLDS REPORT <br /> Facility Name C nC. Program ID# a3 119 IF <br /> Facility Address a�-3i E. M l pa r`ci y StOC.Ii#bVl Zip `157p5 <br /> UST: Dual Wall V Single Wall RFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall %/ Single wall Suction_Pressure,ZGravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to O erate [H&SC 25284] <br /> Forms A & urrent LH&SC 25 4 c <br /> QMonitoring/Maintenance Records F23CCR 2712 b <br /> monitoring Records Available 23CCR 2712 <br /> ® <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Response Plan r23CCR 2632 (d) (2) ] <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> Over spill on ainer [23CCR 2635 (b) j <br /> Cathodic Protection f23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure koiiowee) j <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <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 L23CCR 26TG—F377!) j <br /> AUTO = TANK GAUGING (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 /> Annual an n egrl y es <br /> 'I'anr Gaugingroce ure k'ollowecL <br /> Daily Suction Piping Monitoring F23CCR <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Grayit 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, ose or Temporar y Closed-F2-3 R- 26701 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEI D BY: /� PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_L _of oZ. <br /> PHS 260 (4198) <br />