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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 = ry Gid L�'�_ Program ID# <br /> Facility Address /3 it _S, 1)4.x, GAJ _� City GonL zip <br /> UST: Dual Wall__� _SingleW 11 OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wallSingle 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 Operate [H&SC 252841 <br /> Forms A & B Current H&SC 25284 c <br /> Monitoring/Maintenance Records 23CCR 2712 b <br /> Monitoring Records Available 23CCR 27121 X <br /> Monitoring Plan [23CCR 2632 (d) (1) ] <br /> Response Plan F23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> ver spiii Container [23CCR 2635 (b) ] <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters alibra d [23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procecture I-'oiiowed L23CCR 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 /> ai y Stick Reacting c <br /> (0) 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 /> nuai i-ank integrity Test <br /> lank Gauging Procecture Foiiowect <br /> PTPTNr, MONITORING <br /> Daily Suction Piiping Monitoring [23CCR App. 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 /> Annuai LeaRe ec o es <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2670 l <br /> REHSL=ir=/G T.=1 INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE <br /> y- <br /> PHS 231(9/97) <br />