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 <br />Name ��tAj:hb <br />`� I�� <br />�. Program ID# <br />Facility <br />UST: Dual <br />Address <br />Wall <br />3 5 <br />U) <br />yv City � (}C- `%ip q -5-A6 <br />OVERFILL: Audible Visual echanical <br />Sin le <br />11 <br />g <br />PIPING SYSTEM: Dual wall � Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NOT <br />VIOLATIONS <br />mama <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current H&SC 25284 c <br />Monitoring/Maintenance Records 23CCR 2712(b).] <br />Financial Responsibility FH&SC 2S292-2(a)l <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632 (d) (1) ] <br />Resnonse Plan r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />ver spiii Container <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />UST Integrity Test F23CCR 2641-11 <br />Meters i rated 123CCR 2 4 i <br />Monthly Variations Calculated [23CCR 2646(d)] <br />EX -Variation Proceaure eollowea L23CUR 2646(e)j <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 Reaalng c <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annuai ATU summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />nual I-ank integrity lest <br />Tank auging Procedure FoiIowecL <br />PIPTMr- MONITORING <br />Daily Suction Pipincr Monitoring 2 CR Aipip.II1 <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 />Annual e <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, Closed or Tempo rar y C ose 23CCR 2670 <br />REHS IN ECTI ON DATE/TYPE :Atf'�14p-qj(1rZ)Uf-j'h-t US' <br />RECEI ED BY:PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_t__of <br />PHS 231 (9/97) <br />