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PUBLIC HEALTH SERVICES SAN JOAQUI9COUNTY <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# <br />Facility Address- 2S -d Cit Zi <br />UST: Dual Wall Audible Z' <br />-,,,"Single Wall OVERFILL: b e Vi a Mechanical <br />Dual wall Single wall Suction <br />_Pr ss <br />PIPING SYSTEM: on ure—Gravity__ <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current LH&SC 25284c)j- <br />Monito incT/maintenance Records r23CCR 2712(b)l- <br />al Respn,nieihilitv rH&sr- 25292.2 (a) 1 <br />Monitoring Records Available [23CCR 27121 <br />Monitorina Plan [23CCR 2632(d)(1)] <br />Rasnonse Plan r21CCR 2612(d)(2)] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. L23CCR 2630(d)] <br />Over sii on a- er L23CCR 2-6-3 <br />�nairs r21CCR 2rf;11 <br />Permitted UpQradegct rq.,irri? qi;gni <br />Cathodic Protection [23CCR 2635(a)(2).LA)l <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />fial�]--t-VTP.qt- jZaC=Ljjj <br />-Anxaia-1--mUIR R�nort -1�93CCR 2646 (g) <br />Ngters Calibrated r23CCR 2646(i)] <br />nnii-,r Stick Readi -9,lrrp 9rag (01 (-1) 1 <br />ing ck in I / R r 2'A CrR 2 6 4 9 (n) (1) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Int2_qri,t,- --T <br />y Test Every Two Years [23CCR 2646.1(q)j <br />Annual SIR Report [23CCR 2646.1(j)] <br />DalIy is lZe--a-cTi—nq 123CCR-2ZA-6—(c) (1) 1 <br />Monthly ATG Results [23CCR 2643(b)(1)] 11 1 1 - <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual -rani Integrity—itist2645(IDTT- <br />7af1K Gauging ProceCLure FOUII—OwecT-123CCR <br />D it action Pi in Monitoring r2 A-DD.III <br />Piping T;Lqhtness Test [23CCR 2643(b),(c),(d)] <br />Gravity Piping Tested Every 2 Years [23CCR-2643(e)] <br />Monthly Line Test —F23CCR 2643(c)(2)] — ----TF— ----T----T ----------- H <br />TANK REMOVAL <br />Permit to Close—or <br />Remove a,-Craw—ed or <br />REHS 2' <br />RECEIVED BY: <br />Revised Date 7/15/97 <br />PHS 231 (9/97) <br />Operation LH&SC 25298] <br />rarly--C-I—ose2l [23CCR 2670 <br />INSPECTION DATE/TYPE: <br />PHONE: 9 -3 <br />23 CCR UST Regs May 5, 1994 <br />PAGE of <br />