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PUBLIC HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />E <br />N COUNTY <br />DIVISION <br />DIVISION <br />Stockton, CA 9520 <br />MAY 2 6 1999 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name /, �/?'jj ,•`� v� {EE¢' r'-T4'_�,j Program ID# �' .� l 6 <br />Facility Address (G' 1 �,/� �,.,��Q� City zip <br />UST: Dual WallSingle Wall OVERFILL: Audible Visua ^XMechanical <br />PIPING SYSTEM: ual wall single wall Suction Pressure Gravity. yG,. <br />DOES THE LEAK DETECTION9Y—STEM meet 23CCR 2636(8) requirements? YES >< NO -- <br />VIOLA IO S <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current H&SC 25284 c <br />Monitoring/maintenance Records r23CCR 2712 b <br />Financial Responsibility fH&SC 25292.2(a)l_ <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan 23CCR 2632(d)(1)] 4 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annuai Cert. L23CCR 2630 e, 9' mawiE <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 />Meters Calibr�Lted r23CCR 2646(1)1 <br />Gauging Stick in 1�8 Inches r23CCR 2646(c)(1)(F)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Proceaure Foiiowee)j <br />STATISTICAL IWVrENTORY 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 />Daily Sticic Reauing c <br />AUTOMATTr- TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />nua.L 'rank integrity es <br />rank Gauging Proceaure Followed <br />PIPING M_ TTORTNa <br />Daily SuctionPiping Monitoring r2 R ADD.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 />u Detector s <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, Ciosed or Temporar y Ciosed L23CCR 2670 <br />REHS -� �" -*� c1 :a f INSPECTION DATE/TYPE : _ 1t — 9 f <br />-i�EE'E-I�FBB--B3F • PHO <br />�%%� r <br />,ReviseDate,"' l /97 _ 23 CCR UST Re_gs May 5, 1994 PAGE ! of <br />PHS 260W r �' i rpt A_ "�C,+' CIN / <br />