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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 �- LY �0-� "4,+- Program ID# <br />Facility Address I'3 , md,bs City zip <br />UST: Dual Wall Single Wall OVERFILL: Audible Visua Mechanical <br />PIPING SYSTEM:'Dual wall_,K_Single wall Suction Pressurel)CGravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO__7>< <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current TH&SC 25284 c <br />Monitorin Maintenance Records r23CCR 2712 b <br />Monitoring Records Available 23CCR 2712 <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 spill on ainer L23CUR 2635(b)] <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters alibrated r23CCR 2 4 i <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Procedure Foiiowect L23CCR 2646(e)] <br />-UA=ICAL 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 Reading c <br />AUTOMATIC 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 />nual 'i'ank integrity iest <br />Tank auging ProceCure oiiowecl <br />PTPTNQ MONITORING <br />Daily Suction Piping Monitoring [23CCR Avy.III <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test 23CCR 26437c7727T-- <br />Annuai Leake ec o es <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, C ose o Temporar y C ose 23CCR 2670 <br />REH J INSP DATE/TYPE: <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May <br />PHS 231 (9/97) <br />5, 1994 PAGE I of7 <br />