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PUBLICHEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , 2 it 43420Fl Stockton, CA 95202 <br /> ( <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name n ��r^�� Program ID# .Z3 n 3 <br /> Facility Address (H `.7 aCity _SfO `an zip <br /> UST: Dual Wa11Single Wa l OVERFILL: Audible Visual_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 /> N A Sit Lt, VIOLATIONS <br /> M <br /> UST GENERAL RE UIREMENTS <br /> Permit to Operate [H&SC 25284j[H&SC <br /> Forms A & B Current H& C 52 <br /> Monitorin Maintenance Record <br /> MonitoringRecords Available <br /> MonitoringPlan 23CCR 2632 d <br /> Unauthorized Releases Re orteEquipment Annua Cver s i on ainer t23uux 2635 (b) 1_Permitted UST Rlp�jrq r9.-A('(R <br /> Cathodic Protection 23CCR 26New USTs Monitored Continuous <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated 123CCR i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure koiiowee) j <br /> _ZTATISTICAL 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 /> ai y Stick Reacling c <br /> AUTOMATIC TANK GAUGING (ATr) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai ATG Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual lankn egri y lest <br /> iank Gauging roce ure Followec. <br /> PIPING MONITORING <br /> Daily Piping in .II <br /> . Pilping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> Annuai <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y C ose 23CCR 2670 <br /> REHS NSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/1 50 <br /> 23 CCR UST Regs May 5, 1994 PAGE of_ <br /> PHS 231("7) <br />