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PUBLIPHEALTH SERVICES SAN JOA4 UIPCOUNTY <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 j� r1grogram ID# <br />Facility Address���/ City Zip -376 <br />UST: Dual Wall Single Wall OVERFILL: Audible V' ual_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 <br />illi\A {t <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />orms A & B Current LH&SC 25284(b)(c)J <br />Monitorin Maintenance Records F23CCR 2712 b <br />Financial Responsibility rH&SCI 29;9.99.-2(a)l <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan 23CCR 2632(d) 1 <br />Response Plan r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />Over spill on ainer L23QCR 2635(b)] <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters Calibr�ted r23CCR 2646(1)1 <br />Stick in 1/8 Inches r23CCR 2646(c) (1) (E)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- ar a ion Procedure o owe e <br />TATISTICAL INVENTORY RECONCILIATION (SIR) <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 />Daily Stick Reacting (c)(1)J <br />AUTOMATIC TANK GAUGING (ATQ) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual an n egri y lest <br />Tanx Gaugingroce ure kollowea <br />PIPING MONITORING <br />Daily �\ <br />Suction Piping MAipr).111 4A <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit t Close or Cease Operation H&SC 25298 <br />Remov ose r Temporar y Closed 23CCR 2670J <br />REHS INSPECTION ATE/TYPE : —21, %� 5�j <br />T� <br />I,- <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 2 CCR UST Regs May 5, 1994 PAGE of <br />PHS 231 (8l87) <br />