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PUBLOOKEALTH SERVICES SAN JOA CO <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> ®IkqZ=DERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name 1�'�C_ej.ejpj M:M, kWgA= Program ID# <br /> f 16'1 zip <br /> -7 <br /> Facility Address �At) Cit <br /> UST: Dual WallSingle Wall AVER121—: Audible -visual Mechanical <br /> PIPING SYSTEM: Dual wall ),-Single wall Suction Pressure Gravity <br /> DOESTHE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> T # <br /> UST GENERAL REQUIREMENTS ANK <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B urrent H& 25284 (b) (c) ] <br /> MonitoringZmaintenance Records [23CCR 2712 (b) ) <br /> Einancial Fegnnnsibilitv r 2 (a) ] <br /> MonitoriM Records Available [23CCR 2712] <br /> Monitoring Plan [23CCR 2632 (d) 1) ] <br /> Resnonse Plan r23C7C!R 26:12 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring—Equipment Annual Cert. [23CCR 2630TaTT—' <br /> Over-,gpiII ConEainer <br /> Pe,mit-t-j-d TTRT Pf-n;;j,-__ rq.,irrp 9.rrji <br /> Re3:Mjttea TT'ncT'rAaPm___r_9.3rrP 9rs;n1 <br /> Cathodic Protection [23CCR 2635 (a) (2A) j <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> TTAT Tntpa-rit-v Tomczf- [9.'ArrP <br /> Annual MIR P <br /> 3 C C I <br /> C�aiicrjng Stick in 1,28 Inclaes r23CCR 2646 (n) (1 ) (E) 1 <br /> Monthly Variations Calculated [23CCR2646 (d) ] <br /> Ex-VariaEion"'Procedu-re FolioweQ L23CCR__2Z-47G_j e) I <br /> �'T jlqj�j"Ijp <br /> 11 ''LL11M. 5115 L (SIRI <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years [23CCR 2646.1 (cr) ] <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> -Da-i-ly-Stick Readi-n_g__[23­CCR_2646 (c3 (I) i <br /> I,-IL rTf_1 7 Van f <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ATG Summary epor 2=(B) (2) ] <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> 7=ual an ITitegflEy Test t23CCR_2_&45 (r)j I <br /> an Gauging Proce ure o owe0 [23CCR 2b45ka) j <br /> TT RTN <br /> tion Pining Mgnitgring r2 App.III <br /> Piping Tightness Test [23CCR 2643 (b) , (c) (d) ] <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 (c) (2) ] <br /> Anfluai ijeajc Deve-Crof Teor [23CCR 26.30ka) j <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation [H&SC 252981 <br /> Remove , os or(,,Tpmporarly CIose21 [23CCR 26701 <br /> n fN k f, 1, — <br /> REH - -INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGEof_�� <br /> PHS 231(9/97) <br />