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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 Program ID# 5?3 6 W <br /> Facility Address R' G. -City Sf10 C- Zip <br /> UST: Dual Wall Single Wall' OVERFILL: Audible Visual ' Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23C R 2636 (8) requirements? YES NO 'S/' <br /> VIOLATIONS 7� <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 /> Monitoring Plan [23CCR 2632 (d) (1) ] <br /> Resnonse Plan f23CCR 2632 (d) (2) ] <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> Over spill on ai.ner <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> U.qT Tnt-parity Test [23CCR 2643 -11 <br /> meters alibra d r23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Foilowect L23CUR 2b4b (e) ] <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 Reacling c <br /> AUTOMATIC TANK GAUGING (ATM) <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 /> Annuai Iankn egri y Test <br /> lank Gauging Procecture oiiowecL <br /> Daily Suction Piping monitoring 23 CR Aipp. IV <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 eaX Defector Ies <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: �� I <br /> PHONE <br /> Revised Date 7/P 9i7 CCR UST Regs May 5, 1994 PAGE_Lof_ <br /> PHS 231(9/97) a <br /> F0C <br />