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 f Rvade, Facility ID# <br /> Facility Address City zip _ <br /> Facility Phone # _ Facility Contact <br /> Inspection Date: 3?l1e,147 Inspection Type: <br /> UST: Dual Wall ngle Wall OVERFILL: Audible Visual®Mechanical <br /> UST Monitoring Alternative r p UST Contents A ® d rm <br /> PIPING SYSTEM: Dual Wall Si gle Wall Suction Pressure Gravity <br /> Does the leak de ection system shut off the pump automatically? YES NO' <br /> ®� VIO�L7 IONS <br /> TANK # <br /> UST GENERAL REOVIR S <br /> Permit to Operate [H&S 252841 <br /> Orme Curren c <br /> on or n a n enance ecor s L23CCR 2712 (531 <br /> Wane a espons i ity [HO 55292.2 (a)] <br /> marllzz�ring-IK�Me-co as v e [23CCR 27121 <br /> Mi5filtzring-PI&W-123CCRE 26.32 til) <br /> es ones an <br /> - -2S2951 au Or ze a eases a or e & <br /> Monitoring Equipment Annua Test 23CCR 2630 <br /> ® on a Wer <br /> Pe tte UST Re airs 23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> "'CREHoUlc Protect lo-n--173a <br /> RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.11 <br /> nua MIR <br /> Report L23CCR 26j§JgLL <br /> Meters Calibrated 23CCR 2646 (e) (4) ] <br /> a is rea in c <br /> Gauging Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> I NTORY RECONCILIATION SIR <br /> Excessive Variation Reports 23CCR 2646.1 <br /> UST tegrity wes-Ti Y6&f <br /> Annual Report 4 .1 <br /> TIC TANK GAUGING ATG <br /> Monthly ATG Results 3CCR 2643 (b) (1) ] <br /> Annual ATG Summary Report 23CCR 2715 (b3' (2) ] <br /> Tank Gauging Weekl [23CCR 2645(b)] <br /> Annual Tan ntegrity Test 123CCR 2645(513 <br /> ORIN <br /> Daily Suction Pi in Monitoring 23CCR A .II <br /> Pi ng Tsghtness Test [23CCR 2643 (b) , (c) , (d) ] <br /> ry­it 7e-d—every 2 yearsL23CLIR7e——evere <br /> Mont y Line Test 23CCR 2643 c 2 <br /> nual Leak Detector es pp. <br /> SYSTEM STATUS: Major Violations No Violations 4-1 <br /> COMMENTS: <br /> RIBS: dRECEIVED BY: t <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />