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,`WI <br /> 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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name hak Facility ID# -�3 1 7 ( T <br /> Facility Address - I zn- City'SiE zip <br /> Facility Phone # V Facility Contact <br /> Inspection Date: - - Inspection Type: <br /> UST: Dual Wall_ Single WallK, OVERFILL: Audible_ Visual Mechanical_ <br /> UST Monitoring Alternative !V( LR UST Contents ,n zG-d7T; / P Qy,C Qom, <br /> PIPING SYSTEM: Dual Wall Single Wal 1�Suction Pres su a G' avlt <br /> Does the leak detection system shut off the pump automatically? YES_ NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate (H&S 252841 <br /> orms A Et B current c <br /> onI orin ain enance Records <br /> Financia Responsibility LH&S 25292.2 a <br /> Monitoring Records Available L23CUR 271;&J <br /> onI oring an <br /> Response Plan L23CCR 2632 2 <br /> Unautriorized Releases Reported H& 252957- <br /> Monitoring <br /> 5295Monitoring Equipment Annual Test L23CCR 2630 <br /> over spill on ainer <br /> Permitted UST Repairs L23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> Cathodic ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.11 <br /> Annual MIR Report L23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4)] <br /> Daily Stick reading C 4 c 1 <br /> Gauging Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported (23CCR 2646.1 d <br /> UST Integrity es every two years <br /> Annua SIR Report L23CCR 2646.1 <br /> aI y Sticr, ReadIng L2.3UUX 2b4b kC) <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthly ATG Results (3CCR 2643 (b) (1) ] <br /> Annual ATG Summary Report L23CCR 2712 b 2 <br /> MANUAL UST TANK GAUGINGMTG <br /> Tank Gauging Weekly (23CCR 2645 (b) ) <br /> Annual Tank Integrity Test L23CCR 2645 <br /> PIPING MONITORING <br /> Daily Suction Piping monitoring (23CCR A .II] <br /> Piping Tightness Test (23CCR 2643 (b) , (c) , (d) ) <br /> Gravity Piping este every 2 years e <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual ea etector test L23CCR App.IV(I) (d) j <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: <br /> REHS: /` CC, C RECEIVED BY: ` D-1 <br /> TITLE: r - 17� EI PHONE: ���� DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />