Laserfiche WebLink
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 Name2�!Iu Pitt k\Cy Program T_D# <br /> Facility Address(y eco f i 4L1 5 City's& t�� zip <br /> UST: Dual Wall Single Wall i OVERFILL: Audible visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wall_]ZSuction 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 O'oerate [H&SC 252841 <br /> Forms A & B Current IH&SC 25284 c <br /> Monitoring/Maintenance Records 23CCR 2712 b <br /> �; t 2(a)1 <br /> Monitoring Records Available (23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) ] <br /> i / s <br /> Unauthorized Releases Renorted [H&SC 25295] <br /> onitoring Equipment Annuai Cert. L23CCR 2630 ( <br /> ver s i on ainer 6 0 <br /> Da T ; r 7 1 <br /> PRrmitt-H <br /> •Cathodic Protection 23CCR 2635 (a) 2 A) i ✓ ,/ <br /> New USTs Monitored Continuouslv [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UqT Tnt-arjnv <br /> Anniinl TPppny- <br /> Meters Calibrated [23CCR <br /> 4 (i ) 1 <br /> t ( 1 <br /> ' C ( 1 <br /> Monthly variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation _roce ure i-'oiioweC1 el <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (4) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 (x) <br /> Annual SIR Report [23CCR 2646. 1 (j) ] <br /> ai iy Stick Heacting c <br /> AUTO <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai Summary Report 77 <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an integrity Iles ) j <br /> lank Uauging Proceaure ro -Lowe i <br /> Monitoring r23CCR AnD. III <br /> XPinincr Tightness Test 23CCR 2643 b c d <br /> Gravity Pioing Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2643-',c7T2-7T-- <br /> Annual ZeaK Detector <br /> TANK REMOVAL <br /> Permit to Close or Cease ODeratlon LH&SC 25298 <br /> Removed, Ciosed or Temporarly Closed L23CCR 2670 <br /> REH = INSPECTION DATE/TYPE: '� L <br /> RECEIVED BY: �! -. . P??ONE: /� - - l -7 <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 260 (4/98) <br />