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PU$LIC 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 p ` Program ID# <br /> Facility Address M,pyNN Sr}- City �� Zip aS>.S~7 <br /> UST: Dual Wall�Single Wall OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wallSingle wall Suction___�(_Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES X 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 2712 <br /> monitoring Plan [23CCR 2632 (d) (1) ] <br /> Response Plan [23CCR 2632 (d) (2) ] <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> Over spiii Container L23CCR 2635 (b) ] <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST Integrity Test 12�CCR 2643 . 11 <br /> Meters Calibrated [23CCR 2646 (1) 1 <br /> qt-irk PPicjjnq <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation ProcecLure P'oiioweC L23CUR 2646 (e) ] <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 /> ATTTOMATTC TANK GAUGING (ATG) <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 /> Tank Gauging Procecture oiiowecl <br /> PIPING MONTTORTNa <br /> Daily Suction Piping Monitoring 23CCR Aipip. 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 LeaKe ec or Test <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 INSPECTION DATE/TYPE: <br /> RECEIVED BY: ,d L, V�� PHONE: <br /> lk4fA <br /> Revised Date 7/1 97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(9/97) <br />