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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 3 Palms Gl'ocer Program I�II`D# a 3 193 n y <br /> Facility Address F, - Cityp'� Zip <br /> UST: Dual Wall Single Wall SR82LL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br /> DOHS THE LEAK DETECTION YS SM meet 23CCR 2636 (g) �irementa7 YES ( NO <br /> VIOLATIONS <br /> TANK # <br /> QST GENERAL REQUIREMENTS <br /> Permit to O erate [H&SC 25284] <br /> Forms A & B urrent LII&5U Zb,&b4 c <br /> Monitoring/Maintenance Records 123CCR 712 b <br /> . Monitorincr Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 d 1) <br /> Response Plan 7'ArCR 2632 (d) (2) 1 <br /> Unauthorized Releasee Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23CUX 2630 <br /> ver spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646(d) ] <br /> x- aria ion Procedure o owe e <br /> -=&X=CRL 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 /> a1 y is ea ing c <br /> _TANK GAUGING (AT(3) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> ua-L -ranr integrity rest <br /> Tank au in roce ure Followed <br /> PIPING MONITORING <br /> Pivincr Tightness Test F23CCR 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 to C oae or Cease Operation H&SC 25298 <br /> emove oae or Temporar y oae <br /> REHS INSPECTION DATE/TYPE:: <br /> RECEIVED BY: "ff PHONE: /.3/- 0^0�P <br /> Revised Date 7/15 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 260 (498) <br />