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6 0 <br /> PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> 209/468-3420 <br /> UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name 0- ( CKa Facility ID# /699 <br /> Facility Address '5 L City Zip <br /> Facility Phone # Facility Contact `Z <br /> Inspection Date: z 7z A"- Inspection Type: <br /> UST: Dual Wall_ Single Wall OVERFILL: Audible_ visual®Mechanical <br /> _ <br /> UST Monitoring Alternative UST Contents <br /> PIPING SYSTEM: Dual Wall Single Wall Suction Pressure Gravity <br /> Does the leak detection system shut off the pump automatically? YES_ NO x <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&S 252841 10 K K Fa K <br /> orms current c <br /> oni orin a_.n enance ec r s L23CCR 2712 (b) ] <br /> Financia Responsibi ity H&S 25292.2 a <br /> oni oring Recoras vai a e <br /> monitoring PIan -- <br /> Response Plan 23CCR 2632 (d) (2) ] <br /> unauthorizea Re eases Re2orted LH&S5 <br /> Monitoring Equipment Annual Test 23CCR 2630 <br /> over spiII Container <br /> Permitted UST Re airs 23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> a o is Protect ion— a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.11 <br /> Annual MIR Re ort 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Da!Iv 9EIckrea in 44 c 1 <br /> GaLi2ing Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL INVENTORY RECONCILIATION JSIRJ <br /> Excessive Variation Reported 23CCR 2646.1(d) ] <br /> UST n e ri es ever wo ears <br /> Annual SIR Report L23CCR 2646.1 <br /> as y SticK meaaing c <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthly ATG Results [3CCR 2643 (b) (1)] <br /> Annua ATG Summary Report L23CCR 2712 (b) (2) ] <br /> T TANK GAUGING <br /> Tank Gauging Weekly [23CCR 2645(b) ] <br /> Annual Tan Inti rity Test 23CCR 2645 <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring [23CCR A22-III <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> rave iping Testedevery 2 years e <br /> Mont y Line Test L23CCR 2--643 (c) (2) ] <br /> -=--al-re-a-=--al-re-ak Detector test L23CCR-Tp-p--.-1V(1) (d) 1 <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: <br /> EHS: RECEI D BY j <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />