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6 0 <br /> 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 TAN-/K� PRPROGRAMS?OG ,A,gM OFFICIAL INSPECTION REPORT <br /> Facility Name,/ppb� I- Ce)�I rGJG -1-��(L. Facility ID# oR 3 I --2Y <br /> Facility Address /it&24U City _Cr�_�C kr�4 hqIzip !T-5'2e') `�i <br /> Facility Phone # Facility Contact <br /> Inspection Date: Inspection Type: <br /> UST: Dual WallX Single Wail_ OVERFILL: Audible_ Visual_Mechanical_ <br /> UST Monitoring Alternative pnv,Tin44t7 1 UST Contents VY1&J L�'11i 3/ i>1� <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 /> TANK # <br /> UST GENERAL REQUIREMENTS 0i� <br /> Permit to Operate [H&S 25284] <br /> orms A & b curren c <br /> one orin . <br /> /Maintenance ecor s <br /> Financia Response i ity [H&S 25f92.2 (a) ] <br /> monitoring Recorqs Avaiiabie [23CCR 211;&J <br /> Monitoring Ylan <br /> Response Plan LZ3CCR 2632 (d) (2) ] <br /> Unautnorized Releases Reported H& 25295 <br /> Monitoring Equipment Annual Test LY.3uux 2630 <br /> over spill on ainer <br /> Permitted UST Re airs 23CCR 2661 <br /> Permitted Upgrades [23CCR 2660] <br /> Cathodic ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.1] <br /> Annual MIR Re ort 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Dailv Stickrea in CCR 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 /> Integrity es ever two ears <br /> AnnualSIR Report 23CCR 2646.1 ] <br /> ai y stick Reading c <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthl ATG Results [3CCR 2643 (b) (1) ] <br /> Annua ATG Summar Report L23CCR 2712 2 <br /> MARTIAL UST TANK GAUGINGMT <br /> Tank Gau in Weekl [23CCR 2645 (b) ] <br /> Annua Tan Integrity Test 23CCR 2645 b <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring [23CCR A .111 <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> ravit i in este every 2ears e <br /> Monthly Line Test 23CCR 2643 c 2 <br /> nua ea e ector test pp• <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: <br /> REHS: C, •11 1l/ RECEIVED B is <br /> TITLE: J'Y. G. 1T �- PHONE:' DATE:711111,11. <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />