Laserfiche WebLink
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 AOZ4 / Facility ID# 44/ <br /> Facility Address ZVpov City Zip <br /> Facility Phone # `$a a- f Facility Contact <br /> Inspection Date: Inspection Type: o$ s <br /> UST: Dual Wall_ Single Wall OVERFILL: Audible_ Visual Mechanical® <br /> UST Monitoring Alternative UST Contents �'e^- <br /> PIPING SYSTEM: Dual Wall Single Wall Suction Press re Gravity <br /> Does the leak detection syste shut off the pump automa ically? YES — NO� <br /> VIOLATIONS <br /> T <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&S 252841 <br /> F- <br /> -Forms A Curren c <br /> or sone or1n <br /> Fi.nancxa Response 1 ity LH&S 25292.2 a <br /> one oring ecor s vai a Ie <br /> one ori.ng Plan <br /> 1- <br /> Response---Plan 23CCR 2632 (d) (2) ] <br /> naut orize Releases Reported [H&S52 5 <br /> Monitoring Equipment ua Test 23CCR 263-0UdTT <br /> over spill on ainer <br /> Permitted UST Re airs23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> Cathodic ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Inte rit Test [23CCR 2643.1] <br /> Annual MIR Report L23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4)] <br /> Dailv Stic rea inq 123CCR 44 c 1 <br /> Gau in Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL I O RECONCILIATION SIR <br /> Excessive Variation Reported 23CCR 2646.1(d) ] <br /> UST Int e ri es ever wo years <br /> Annual SIR Report 23CCR 2646.1 , <br /> ai y is e ing 64b kC) tl) J <br /> AUTOMATIC T GAUGING ATG <br /> Monthly ATG Results [3CCR 2643 (b) (1)] <br /> Annual ATG Summarl 3CCR 2712 b 2 <br /> AL YZST TANK gAUGING <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Tank Integrity Test L23CCR 2645 <br /> PIPING MONITORINg <br /> Daily Suction-PiDing Monitoring [23CCR 82p.III <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> Gravity i in este ever ears e <br /> MontEly Line Test 23CCR 2643 c 2 <br /> An-nuaI"T,eaR Detector test pp. 1 <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: <br /> RENS: "m RECEIVED BY: 20 <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />