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PUBLIPHEALTH SERVICES SAN JOAQUIPCOUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERG <br /> S70RAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name Program ID# <br /> Facility Address—-3/ <br /> ?-0 Z' y zip <br /> UST: Dual Wall ? Single Wall_Lj,!L'0VERFILL: ,Xdible Visual Me an ical <br /> PIPING SYSTEM: Dual wall Single wall--L,/ Suction Pres su:�e: Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLAT-IONS <br /> T # <br /> UST GENERAL REQUIREMENTS ANK Z' <br /> Permit to 22erate [H&SC 25284] <br /> Forms A & B Current LH&SC 25284cjj <br /> MonitoringZMaintenance Records [23CCR 2712 (b) ] <br /> Finannial Responsibility rT4&sC 25292,� (a) ] <br /> Monitoring Records Available [23CCR 2712] <br /> Monitoring Plan [23CCR 2632 (d) (1) ) <br /> Response Plan [23CCR 2fj32 (d) (2) ] <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annuai Cert. L23CCR 2630 (d) T— <br /> Over sil Container L23CCR <br /> Permitted TTST Renairs [23CCE 2gf;11 <br /> Cathodic Protection [23CCR 2635 (a) (2) (A) l <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> JJSJ TntAcrritv Test r2l <br /> Ann33a] MTP PC-'nnV'1- [23CCR 2646 (a) ] <br /> Mgtgrg Calibrated r23CCR 2kjkj1.;L)j <br /> naj]-,.r pt-i r-i- PAmrii,, r,,>,irri? ;or.Ar tol 11 1 1 <br /> QaUging Stirk in 1�8 T-1ir-hps r2'ACrj' ,,2 1!'5,'' C L'.1.121.)..I- <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Proceaure Foilowed [23CC 2646 (e) j <br /> 112jij (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Every Two Years [23CCR 2646.1LqLL_ <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> DalIy Stick- Reading L23)CCR-2646 (c) (1) ] <br /> A= --- 1---' 4 <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] Vol' <br /> -AnnuaE-A,i,u summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> =uai an IntegYlt-y—r-e-sT <br /> TaKK GaUglffg- Pf5ceffu-fe FZI:15WeU [2'3CCR 2645 (Ul I <br /> Daily gugtign Riping Mtgriag 1239CE app-III <br /> Piping Tightness Test [23CCR-2,6,43 (b) , (cd) ] <br /> -Gravity Pi in Tested Ever X 2 Years [23CCR 2643 (e) ] <br /> Monthl-y Line Test L23CCR 2643 (c) (2) ] <br /> Amual: s L;�JUUK ;4b-iU ka) j <br /> TANK REMOVAL <br /> Permit to close or.,C-6e operation [H&SC 25298T <br /> Removed'A Clo!5A-,$K',Wmpo5jrly Closed [23CCR 2670 <br /> RENS �CTION DATE/TYPE: <br /> RECEIVE BY: PHONE: QS-7 <br /> Revised to 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(9/97) V)eL�*f D <br /> q <br />