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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 /> UNDEROSMO RAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> y"* <br /> Facility Name /r( Program ID# ' <br /> q1Lb VLA I - <br /> Facility Address o W -_ City Zip <br /> UST: Dual Wall Single Wall OVERFILL: Audible visual Me <br /> PIPING SYSTEM: Dual wall /Single wall Suction Pressure—. canical <br /> _,,'Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES—_"-NO <br /> VIOLATIONS <br /> TANK # <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 /> Monitoring Records Available' [23CCR 2712 <br /> MonitoringPlan 23CCR 2632 (d) (1) ] <br /> Resnonse Plan f23C!Cg 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] ``7 <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 /> Meters Calibrated r23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure k'ollowecl L23CCR 2646 (e) j <br /> STA'ISTICAL INVENTORY RECONCILIATION (SIR) \ � <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 <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 /> nua anx Integrity Test <br /> Tank auging Procecture kollowect <br /> PTPTNM MONITORING <br /> Daily Suction Piping monitoring r2 R App.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 <br /> TANK REMO AL <br /> Permit t Close Cease Operation H&SC 25298 <br /> Remoose or Temporar y Closed 23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: i, ^ !', 772 <br /> RECEIV BY PHONE �I� <br /> Revised Date 97 23 CCR UST Regs May 5, 1994 PAGEof <br /> PHS 260 260 (4/98) <br />