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y, PUSL*EALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />JOAQ} COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name / % i" r', `1�rogram ID# <br />Facility Address y p cit zi , <br />UBT: Dual WallSingle Wall OVERFILL: Audible Visual_ Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure _-Gravity_ <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />�....s. <br />it <br />GENERALUBT REQUIREMENTS <br />Permit to 0 erate [H&SC 252841 <br />n c <br />Monitorina/Maintenance Records CR 2712 b <br />Records Available 23CCR 2712 <br />Monitoring Plan 23CCR 2632 d 1 <br />-JAA222M Plan r2_1fT!A 2922(d) (2)1 <br />Unauthorized Releases Reported [H&SC 252953 <br />Monitoring qu men uaCert. L23CCR 2630 <br />hodic Protection r23CCR 2 3 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />XLNUAL INVENTORY RECONCILIATION (MIR) <br />_=arm C&IiJ2 CR 2646(i)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Froceaure Followede <br />---XNVZNTORY RECONCILIATION (91R) <br />Inconclusive Procedure Followed 23CCR 2646.1(d) <br />Test Everv,Two Years r23CCR 2646.1 <br />Annual SIR Re ort 23CCR 2646.1(j)] <br />ng c <br />JMQW=L- TANK GkilaTma (ATO) <br />�',•. <br />Monthly ATG Results [23CCR 2643(b)(1)] s <br />mmual JUG Summary Report <br />NAWAL UNT TANK GAUGING (MTG) <br />Tank aug ng Weekly L23CCR 2645 Pygymn <br />a. <br />26 c d <br />Gray t Piping Tested ZveEX 2 Years (23CCR-2643(e)] <br />1WRAly IjInG Test L23CCR 2643 (C) <br />TANK REMOVAL <br />Permit toiClose or Cease ration H&SC 25298 <br />emov <br />,,,/Closer Temporarly closed <br />REM . `" % -^"'` INSPECTION DATE/TYPE : <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />MN al 0" <br />