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PUBLI HEALTH SERVICES SAN JOAQUI CO=Y <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 et. Facility ID o;L3 'Z' <br /> Facility Addr ss city Zip <br /> Facility Phone # Facility Contact <br /> Inspection Date: r r Inspection Type: <br /> UST: Dual Wall_ Single Wall . OVERFILL: Audible_ Mechanical� <br /> UST Monitoring Alternative UST Contents T [I <br /> PIPING SYSTEM: Dual Wall Single Wall Suction Pressure Gravit <br /> Does the leak detection system shut oft the pump automatically? YES NO <br /> VIOLATIONS <br /> TANK ## <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate (H&S 252841 <br /> Forms A & B curren c) Jil. <br /> one orin aintenance Records L23CCR 2712ib) JI E! <br /> Financial Responsibility LH&S 25292.2 (a) ] �! <br /> Monitoring xecoras AvailaDle [1 <br /> monitoring Plan i t <br /> Response Plan L23CCR 2632 2 I RP <br /> Unauthorized a eases Reported &S 252951Ik <br /> Monitoring Equipment Annual Test L23CCR 2630 <br /> Over Spill on ainer <br /> Permitted UST Renairs 23CCR 2661T— <br /> Permitted <br /> 661 Permitted Upgrades (23CCR 26601 pt. <br /> Cathodic ro ec ion a (r <br /> MANUAL INVENTORY RECONCILIATION MIR I ! <br /> UST Integrity Test (23CCR 2643.11 I ki <br /> Annual MIR Report 23CCR 2646 (,q) ] I i! <br /> Meters Calibrated [23CCR 2646 (e) (4) ] . I{ <br /> Daiiv Stick rea in CR 2446 (c) 1 I <br /> Gauging Stick in 1/8 inches (23CCR 2646 (c) (1) (E) ] I �� <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported [23CCR 2646.1(d) �I <br /> Ititegrity Testevery two years Fs <br /> Annual SIR Report L23CCR 2646.1 (3) j kl <br /> ai y SETcR Reading J23CUR 2b4b tC) ! <br /> AUTOMATIC TANK GAUGING (ATGJ- <br /> Monthly ATG Results {3CCR 2643 (b) (1) ] I I <br /> Annual ATG Summaa Report L23CCR 2712 (2) ] I I! <br /> MANUAL T TMM GAU I MTG , <br /> Tank Gauging Weekly (23CCR 2645 (b) ] t4 <br /> Annual Tank Integrity Test L23CCR 26T-5 (b) ] <br /> PIPING MONITORING I � <br /> Daily Suction Piping Manitorin (23CCR Aan.II] !- . <br /> r Piping Tightness Test (23CCR 2643 (b) , (c) , (d) ] ;G <br /> Gravity zein este every 2 years L23CCR 2643e) J 1 tt <br /> Monthly Line Test (23CCR 2643 c (2) I I <br /> Annuai LeakDetector test L23CCR App. 1 I If <br /> fI. <br /> SYSTEM STATUS: Major Violations No Violations F <br /> COMMENTS <br /> S� <br /> ii <br /> RENS: RECEIVED By: fLLl <br /> iFl <br /> TITLE: PHONE: DATE: <br /> �r <br /> 4 Revised Date 1/29/97 23 CCR UST Reg May 5, 1994 <br />