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PUBLIPHEALTH SERVICES SAN JOAQU119COUNTy <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (US PROGRAM INSPECTION REPORT <br />Facility Name n eProgram ID# 1,11o7o <br />9y'? -0h <br />Facility Address _7e—z:7? CityAp- <br />ual <br />UST: Dual Wall yo0' Single Wa1_011ERFILL: Audible7��vis_Mepanical. f <br />PIPING SYSTEM: Dual wall / Singl4 wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO::� <br />VIOLA96-NS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current 5284 c)] <br />MonitoringZMaintenance Records [23CCR 2712(b)] <br />EinanCial RARnnnqibility rH&SC 2S292 -2(a)] <br />Monitoring Records Available [23CCR 2712] <br />Monitorin!j Plan [23CCR 2632(d)(1)] <br />-Ra-,9pQj3-Sp. Plan r 2 3Zf.R-ZQ2 (d) (2) 1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR2630 <br />Over sli Con ainercux-2�� 1 <br />ReLmitted UST Renairq r21CCR 2f;91] <br />Rp_=jtteri TTnrT-rnA,=.Q [23CCR 26601 <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Anminl MTP PAnnyj- r,;PirrP <br />gl&rg [23CCR <br />T)A i Lu -.q g [23r_Cg 2rdr, (r-1 (1 1 1 <br />r-qiicyincr Stick in I/R TneheR r23CCR 2f;4f;(C)(j)fE)1 <br />Monthly variations Calculated [23CCR 2646(d)] <br />Ex-Va—rl-at-ion -P-r-o-c--e-du-re FoIlowed [23CCR 26216 (eJ I <br />h9TAT15=QA"MKjQHX 8=KQjLjAjjQK (STRI <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integritv Test Every Two Years [23CCR 2646.1Lqjj_ <br />Annual SIR Report [23CCR 2646.1(j)] <br />Da!Iy S is Reading [23='2946 (c3(1)j <br />&==2:jC IMM QAUajKrz (AT01 <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual A G Summary ReporE <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annua.L "" an integrity 'Iegt L23CCR <br />an Gdu-g-i-n-`g-7 Procedure FolIowed [23CCR 2EA-57M)] <br />12aily glaction Piping MgnitgKing [23CCR Ar),D.II1 <br />Piping Tightness Test [23CCR 2643(b),(c),(d)] <br />GravitX Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test [23CCR 2643(c)(2)] <br />ATINUal LeaK-DeT-e�nmt [2,3CCR 2630kcL)i <br />TANK REMOVAL <br />-Permit to close or Cease Operation H&SC 25298 <br />Removed, Closed or Tempora y C ose 23CCR 26 <br />A7 <br />REHS 1*49ZZQTION DATE /TYPE.. zwl&� 4- <br />RECEIVED BY. F4PHONE: 5-10-13%AW'%d <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 231 (9/97) <br />