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PUBLIC HEALTH SERVICES SAN JOAQUIN COIINTY <br /> WMIRONNENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> DNDRRGROCND STORAGN TANK (CST) PROGRAM INSPHCTION REPORT <br /> Facility Named4, ram ID# C)4 9 <br /> Facility Address ity Zip117407 <br /> ical <br /> PIPING SYSUST: Dual TBK: Dual lwall ngle WalSingleVwaall�uct3.on Pressure_�le Visual Gravity <br /> DOGS TH8 LEAK DBTBCTION SYSTRK meet 23CCR 2636 (g) requirements? YES NO—*;;;�1r <br /> VIOLATIONS <br /> TANK # <br /> CST G DUCRAL RXC=RZWX=S <br /> Permit to 22arate [H&SC 252841 <br /> rormis & 5 Saaren c <br /> 7 <br /> XOnitor R11coram Available 3C 2712 <br /> Monitoring Plan 23CCR 2632 d 1 <br /> -H9UtQQnfig* Plan r7'ArCR 2632(dl (211 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring MleMt Annual Cert. <br /> r s1pill UoncaLixer <br /> Cathodic 2 <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL nMZM ORY R3CONCILIATION (MIR) <br /> Monthly Variations Calculated [23CCR 2646(d) ] <br /> aria ion Froteclure F0110w6a L23CUR Z646 (e) <br /> -ATATMST-T TON (SIR) <br /> Inconclusive Procedure Followed 23CCR 2646.1(d <br /> II T Integrity Test Every Two Years 123CCR 2646.1 <br /> Annual SIR Re rt [23CCR 2646.1(j) ] <br /> -D-a-3-ry--'3E1cjc Reading c <br /> Monthly ATG Results [23CCR 2643(b) (1) ] <br /> Annual ry Report <br /> MANCAL CST TANK GAUGING (MM) <br /> Tank Gauging—Weekly 23CCR 2645(b)] <br /> Piping Tightness Test [23CCR 643 d <br /> Gravity Pi in Tested EveEx 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2 43 c <br /> TANK RZN1OVAL <br /> Permit to Close or Cease Operation CH&SC 2S2981 <br /> Removed, osed (;yr Tempo5pLrly Closed <br /> RENS j I14SPWTION DATE/TYPE: <br /> 10.10'rl <br /> RECEIVED BY: P ONE: 71�) SAD 0303 <br /> Revised Date 7/15/97 2 CCR UST Regs May 5, 1994 PAGE_Lof 2 <br /> PW 231 lW T <br />