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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 _ n �� _program ID# ,A 1 q-$ <br /> Facility Address_ 3 41 6 SSC I f CityLSc&b�, Zip �. a <br /> UST: Dual Wall Single Wall OVERFIL : Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wall�Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23C 2636(8) requirements? YES NO_-5C— <br /> VIOLATIONS <br /> QST GENERAL REQUIREMENTS TANK ## <br /> Permit to O erate [H&SC 25284] LJAStG <br /> Forms & B Current & c Oi <br /> Monitor nq/Maintena=e Records f23CCR 7 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 d 1) <br /> Unauthorized Releases Reported [H&SC 252951 <br /> anitoring Equipment Annual Cert. [23CCR 2 <br /> er spill on ainer <br /> Cathodic Protection f23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrited r23CCR 2646(1) 1 <br /> Monthly Variations Calculated [23CCR 2646(d)] <br /> Ex-Variation Procedure Followed L23CCR 2646 (e) <br /> STAT19TTCAT, 'INVENTORY RXC=]ELIATI0N (SYR) <br /> Inconclusive Procedure Followed 23CCR 2646.1(d <br /> UST Intecrrity Test Ever Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j)] <br /> Daily Stick Reading c <br /> AUT)OMATTr TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1)] <br /> Annual summary Report <br /> MANIIAL UST TANK GAUGING (MTG) <br /> Tank Gauging weekly 23CCR 2645(b <br /> Annual Tank Y <br /> e <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e)] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporariy Closed <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 280 (4M) <br />