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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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name .,=. Facility ID# J'77/ <br /> Facility Address It Z6 C- _ " 5r City two/ Zip -'l--/ <br /> Facility Phone # 5«- Facility Contact STBic <br /> Inspection Date: W-7 Inspection Type: 4c,,,rAZEE <br /> UST: Dual Wall Single Wall Y OVERFILL: Audible_ Visual - <br /> Mechanical-UST Monitoring Alternative UST Contents <br /> PIPING SYSTEM: Dual Wall Single Wall Suction Pressure Gravity <br /> Does the leak detection system shut off the pump automatically? YES_ NO_ <br /> VIOLATIONS <br /> VST GENERAL REQUIREMENTS TANK # <br /> Permit to Operate [H&S 25284] <br /> Forms A & B current c <br /> one ori /Maintenance ecor s <br /> Financian _ <br /> Response i lty [H&S 25292.2 (a) ) <br /> monitoring Records Avaiianle <br /> Monitoring Plan <br /> Response Plan 23CCR 2632 (d) (2) ] <br /> Unauthorizea Releases Reported H& 5 <br /> Monitoring Equipment Annual Test 23CCR 2630 <br /> Over 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 .11 <br /> Annual MIR Report 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Daiiv Stick readinq L23CCR 44 c 1 <br /> Gauging Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported 23CCR 2646.1 (d) <br /> Ubr Integrity es every two years <br /> :Zb497T7gTT-- <br /> Annual SIR Report t2JUCR 2646.1 <br /> Daily sticK Reaaing L23CUR 2b4b kC) <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthl ATG Results [3CCR 2643 (b) (1) ] <br /> Annua ATG Summar Report L2.3UUR 2712 2 <br /> MANUAL UST TANK GAUGINGT <br /> Tank Gau in Weekl [23CCR 2645 (b) I <br /> Annua Tan Integrity Test 23CCR 2645 b <br /> PIPING MONITORIN <br /> Daily Suction Piping Monitoring [23CCR A .II] <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> Gravity i in es a every 2 Vears e <br /> Monthly Line Test L23CCR 2643 c 2 <br /> 7-nnual LeakDetector test L23CCR App.lV(1) (d) j <br /> SYSTEM STATUS: Major Violations No violations <br /> COMMENTS: Ji'� � 'r'du'rfy(T /yam j <br /> RENS: 45414 RECEIVED BY: <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />