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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 Z''4 S Lj�S 't'�, CC"j Program ID# )1) 9 <br />Facility Address / c/ (-7�ii CZ _�t1-u'/ddj,f City _S her G �v <br />,�T" ��. Zip <br />UST: Dual Wall Single Wall X OVERFI Lc Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall—)�_Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />r" 7% Wr u <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current H&SC 25284 c <br />monitoring/maintenance Records r23CCR 2712 b <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632 (d) (1) ] <br />Resuonse Plan r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />Over spill on ainer L23CCR 2635(b)] <br />Pprmitted UST Rpnairs r2 -4('(R 2(;611 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />meters alibra d r23CCR 2 4 i <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Proceaure oiiowect L23CUR 2646(e)] <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1(q) <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily Stick Reading c <br />C TANK GAUGING (ATG) <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 />Annual ranKn egri y Test <br />lank Gauging Procecture Foilowecl <br />PIPING MONITORING <br />Daily Suction Piving Monitoring 23 CR Aipy.III <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643 c 2 <br />Annual eaK Detector 1'es <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, CT—os-e-7-or Temporar y Closed 23CCR 2670 <br />REHS INSPECTION DATE/TYPE: <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGEof <br />PHS 231 (9/97) <br />