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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 STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name Program ID# 7,2 <br />Facility Address City- e&_Zip <br />UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />VIOLATIONS 4 <br />UST GENERAL REQUIREMENTS <br />Permit to 22erate [H&SC 25284] <br />-Forms A & B Currer. <br />MonitoriMZMaintenance Records r23CCR 2712(b)] <br />Einancial Rnnnonsibility MSC 29292.2(a)l <br />Monitoring,Records Available [23CCR 2712) <br />MonitoriM.Plan [23CCR 2632(d)(1)] <br />Res'nonsp Plan r23CCR 2632(d)(21 . j <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. [23CCR 2630(d)] <br />--Over spill Contdiner <br />)63 <br />Pe=ittomd TTST Rt=nAirrS 123CCIR 26611 <br />Re=jj:te TTpr,Trra;;de,9_ r,.>-jrrp ->rgni <br />Cathodic Protection [23CCR 2635(a)(2)(A)l <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />aritv Tpqt 123CrR 2943.3.1 <br />Annii=l MTV r 3CCg 2646(a)l <br />Ngtggg Q librated r21CCR 264 <br />r1ailU Stink Rpnainq [23CCR 2646(c) (3)j <br />ua *ncy Stink in I)A Tnnhpn [2lrCg 264fi (C) (1 1 (F.) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-Varia tion ProceHu-re FoIIowed [2-3= 2646(e)] <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 />13aiIy Stick-Reacung 123CCR 264Z--(-c <br />0AMING (ATal <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG --Summary Report L23CCR--27171b) (2) j <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />MMuaJ. Taan-K-Ifnre,gfr! y 'rest L23CUR -2-645-VUYT <br />Tanc,GaHging Froceaure F-o­1­I"6We­cT--T73CCR 2645(Q -)i <br />paily g3action Pinij S Monitoring 23CCR Ann.II1 <br />Pi in Ti2htness Test r23CCR 2643b),(c),(d)] <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)]7 <br />Monthly Line Test T23CCR 2643(-c-)--(2)-j-- <br />M=al Lgak Dete=r TURZ [23UUR---2b-3-UTajj <br />TANK REMOVAL <br />Permit t.9.,C;;FDse or Cease operation [H&SC 252981 <br />Remove dj Iy Mosed [23CCR 2670] <br />REHIS .. INSPECTION DATE/TYPE: <br />RECEIVED BY: -PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE -71 of <br />PHS 280 (4/98) <br />