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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 /> UNDERG OUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> i <br /> Facility Name _ Program ID# 2 <br /> 7;7 <br /> Facility Address //3/ L . City E&P&7j(Py zip <br /> UST: Dual Wall Single WalV VERFILL: Audible Visual Mec nical�� <br /> PIPING SYSTEM: Dual wall ingle wall Suction Pressure , Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? ES NO <br /> VIOLATI S <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 /> Financial Responsibility rT4&SC 2S292 -2 (a) l <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Resiponse Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> Over spiii container <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST Tntparity T <br /> AnnuAl MIR Report r2'lr( P <br /> Meters Calibrated 2 R i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion roce ure Foilowed L23CCR 2b4b (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 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> ai y Stick ReacLing c <br /> AUT014ATIC TANK GAUGING (ATG) <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 /> Annuai lankn egri y Test L2.3uux 264b (ID) j <br /> liank 0auging ProcecLure Poiiowea <br /> Daily Suction Piping Monitoring r2 CR Aipp. III <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 /> Annuai Leak uetector <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Remove , C ose or Temporar y Closed 23CCR 2670 <br /> REHSt111. <br /> _ INSPECTION DATE/TYPE: <br /> RECEIVED B L/! /�� (� PHON <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGEof (/ <br /> PHS 260 (4/98) <br />