Laserfiche WebLink
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 REPORT <br /> Facility Name 0.1 Kr 0, <br /> k/ E Program ID# R'315- <br /> Facility Address V Y( Ci(tyZip� <br /> UST: Dual Wall Single Wa OVERFI : Audible Visu 1Mechanical <br /> PIPING SYSTEM: Dual wall ✓ Single wall Suction Pressure ---gravity <br /> DOES THE LEAK DHTECTION SYSTHM meet 23CCR 2636 (g) requirements? YES�NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to O erste [H&SC 252841 <br /> Forms A & B Current [H&SC 25284 (b) (c) ] <br /> Monitoring/Maintenance Records [23CCR 2712 b ✓ <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 d 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annus ert. L23CCR 2630 <br /> Over BP1il Container L23CCR 263503) 1 <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> URT Tntpgrit-;4 TP-qt- 19.1= ';1r4311 <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d)] <br /> Ex-variation Proceaure FoIIowea L;d3CUF- 2b46 (e) ] <br /> JLTATIAZIfAL INVENTORY RECONCILIATION (SIP) <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 /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ummary Report <br /> MANUAL QST TANK GAUGING (NTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual rank lnuegriEY <br /> ranx Uauging Proceaure bollowea <br /> Piping Tightness Test r23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years 123CCR 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 /> emove Closedor em orar y ClosedR T� <br /> EHS INSPECTION DATE/TYPE:mjvrT 5 v <br /> RECEIVED BY: U i PHONE: apc( Xjg ylyx <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE oS of d� <br /> PHS260 (4/98) <br />