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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 (VST) PROGRAM INSPECTION REPORT <br /> Facility Name 42/PR,,LL.rACity <br /> ogram ID# <br /> Facility Address /7S a Q C(� zip <br /> VST: Dual Wall Single Wall udib a sual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction ressure Gravity <br /> DOHS THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) r quirements? YES—NO— <br /> VIOLATIONS <br /> ESNOVIOLATIONS <br /> TALAR # <br /> VST GENERAL REQUIREMENTS <br /> Permit to O erate [H&SC 252841 <br /> Forms A & B urrent LH&SU 25 84 c <br /> Monitoring/Maintenance Records r23CCR 2712 (b) ] <br /> Financial Responsibility rH&SC 2S292-2 (a) l <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23CCR 2630 <br /> Over spill on ainer <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated F23CCR 2646 (i) l <br /> Monthly variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Proceclure Followee) j <br /> -SMATI-ST.TCAL 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 Reaalrlg c <br /> AITTOMA <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL VST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y es <br /> Tank au in roce ure F611owed <br /> TPTKQ MONITORING IAN <br /> Daily Suction Piping Monitorincr 123CCR ADD. II1 <br /> Pivinq Tightness Test F23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> Annual ieaK uetector lest <br /> TANK REMOVAL <br /> Permit to C ose or Cffalse Operation LH&SC 25298 <br /> Remov ed or a porar y Closed [23CCR T97771 <br /> REHS ATION DATE/TYPE: <br /> RECEIVED SY: r )A - PHONE: Z �J <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS280 (4/98) <br />