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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 />RGR0 STORAGE TANK (UST) P OG RAM INSPECTION REPORT <br />Ur <br />Faa 4C3AaMe I L C <br />"Y' <br />ac i a gram ID# <br />Facility AddressAW City- zip <br />UST: Dual WallIngle Wall 0 RFILL: Audible isual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure. _Gravity' <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />VIOLATIONS <br />it <br />UST GENERAL REQUIREMENTS <br />Permit to erate [K&SC 25284] <br />-70—rMSA & B Current LH&SC 25284(B)(c)] <br />monitoripgZMaintenance Records [23CCR 2712(b)] <br />EinanCiaIjigg e-insibility [H&SC 25292,2 (a) <br />Monitoring Records Available 23CCR 2712] <br />MonitoriM Plan [23CCR 2632d)(1)j <br />Res onse Plan 123CCE 2632(d)(21] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630(dTT— <br />iI ConEainer 1230 <br />2e=ittAd IMT Repaj I rs [23r -r -P 26911 <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />!!rrii--,j Tpqt, 19'ArCR 294111 <br />Meters Calibraj2d [23CCE 261fi(ill <br />DaJ31z Sti Readji3g E '21' 2646 (c) (3 11 — <br />Gauging AH r -k in 128 ingbes; r5)-Arrp ��r,46 (c) (11 (Rj <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Rx-Varia Eion rocsursFollowed L23CCR 2646(e)j <br />STAX1811 �11 ZWOMQRX RECON jLj&TZDE (STR) <br />Inconclusive Procedure Followed [23CCR 2646.1(4)] <br />UST Integrity Test Ever Two Years [23CCR 2646.1( <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily is Reading [23CCIZ 2646 (c)(1)] <br />A= ING (AX21 <br />Monthly ATG Results [23CCR 2643(b)(1)-1 <br />=ual ATG Summ.af-y Report [23CCR 2712CbYr2Tj— <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging weekly [23CCR 2645(b)] <br />AnnUal TaffZ Integrity Test L23CUK ;&b4btD)j <br />Ta L2,augiEg Procedure Followed L23CUR 2b45(d)] <br />QAjjy g3agLign Piniag KgajtS2rip2 r23CCR AnI2,111 <br />Pi in Tightness Test 123CCR 2643(b),(cj,(d)] <br />Gravity Piping Tested Every 2 Years [23CCR-2643(e)] <br />Monthly Line Test [23CCR 2643(c -)-F2)] <br />7=91 LeaX DeE��CtOr Test [23CCR 2b3U(d)] <br />TANK REMOVAJ <br />Permit to Alose or Cease Operation [H&SC 25298 <br />rZ ]; <br />Remove os or ariy Closed [23Ci'-q2 70 <br />FA OJ W 51.1v V DFAI W4 U <br />or <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 260 (4/98) <br />