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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 /> i1NDE p II/N�D�S�T,ORAG(E� THANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name / (/y Q�'JA/%.-}-a� ' Program ID# <br /> Facility Address /'� ' (�O(� ,y City�zip <br /> UST: Dual Wall Single Wali O FZLL: Audible VisualMe hanical <br /> PIPING SYSTEM: Dual wa11j�Single wall Suction Pressure- Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO:P�_ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to O ;rate [H&SC 25284] <br /> Forms & B _U r; <br /> LH&SC 25284 c <br /> monitoring/Maintenance Records F23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Response Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted (H&SC 252951 <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> ver spill on ainer [23CCR 2635 (b) ] <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated [23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure kollowea L2.3CUR 2b46te) j <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 Rea7a–in-g—TTACCRc <br /> A13T TIC GAUGING fATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y lest <br /> U'anx Gaug=groc; ure kollowed <br /> PIPING MONITORING <br /> Daily Suction Piping monitoring R Any. II1 <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit o C os or Cease Operation H&SC 25298 <br /> Remo os . or Temporarly Closed 23C R 2670 <br /> REHS INSPECTION DATE/TYPE: i� <br /> RECEIVED BY: PHONE: d,1'6 -- }aC�+L-6(d02 <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 260 (4198) <br />