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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 REPORT <br /> Facility Name � � „_ ��Y�ogram ID# <br /> Facility Address 37)7 i , yej City / =%r L zip <br /> UST: Dual Wall Single Wall 'OVERFILL: Audible-Vt'sual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction �, Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to O erate [H&SC 252841 <br /> orms A & B urrent LH&SU 2b284 c <br /> Monitoring/maintenance Records 123CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Resnonse Plan [23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment Annua Cert. L23CCR 2630 <br /> ver sT)iii Container [23CCR 2635 (b) ] <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated F23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure koiiowee) j <br /> STATIS CAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST IntegritV Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily stick Reading c <br /> AUTOMATIC TANK GAUGING (ATr) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL DST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y lest <br /> an auging roce ure Followed <br /> Daily Suction Piping M <br /> Piping Tightness Test 123CCR 2643 b c d <br /> Grayit Pi in Tested Ever 2 Years [23CCR2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL ' t <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Remove Gose or emporar y C ose 23 R 267 <br /> RENS --INSPECTION DATE/TYPE: ' <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 260 (6/98) <br />