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�«rjr "„°K`nj'P+rn.��`,'"'•'[e` '°.mss "`,.�: ,�tua++�,'y"�7wa¢ :.,, d�+'°"e`$�#�R�f{Y'�R"��AS`f��'7t . �+*"°�l'7�'3• t'w7"at1�::�„y;��� :aj�c+�lff��� K�y� if ja � •;.' 4`ry <br />�T <br />PUBffl'1EALTH SERVICES SAN JOAQU COUNTY <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 a�,�c. t- <br />,f.a �jp,j Program ID# <br />Facility Address (,L(��°`1 � �- n, i - City E' !n_ r..1 zip <br />UST: Dual Wall Single 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 />u <br />1!l1IA th <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current H&SC 25284 c <br />Monitoring/Maintenance Records 23CCR 2712(b)] <br />Financial Responsibility rT-Tr,.I;r 9.1;292 9.(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 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />meters Calibrated2 <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -Variation roce ure o owe e <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1(q)] <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily Stick Readi-n—g-TT=c <br />-A=OMATIC TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual Axu summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual lankn egri y lest <br />an auging Proceaure I-ollowecl <br />PTPTXr� MONITORING <br />Daily i n Piping Monitoring r2 CR Avy.II1 <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 />Annual eDetector <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Remove , Closed or Temporar y CloseEF723CCR 2670 <br />REHS -�" INSPECTION DATE/TYPE :(!_ <br />RECEIVED BY: <br />Revised Date 7/15/97 <br />PHS 231 (9/97) <br />PHONE: <br />23 CCR UST Regs May 5, 1994 PAGE__�_of—_ <br />