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1 <br /> G 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 STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Names, Iy 47�il�Q�? Program ID# N2SWVI <br /> Facility Address ��� �. r `(� ( O�• City matca.,- zip `F,) <br /> UST: Dual Wall Single Wall OVERFILL: Audible -Visual Mechanical <br /> PIPING SYSTEM: Dual wall %,-" Single wall Suction ressurel/Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO--,-;---' <br /> VIOLATIONS <br /> ( <br /> UST GENERAL RE UIREMENTS TANK # <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current--H-&-S 25284 c <br /> Monitoring/Maintenance Records 23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Rest)onse Plan f23C!CR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> ver spili Container <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated 2 <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Foilowed L23CCR 2646 (e) j <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> ai y Stick Reading c <br /> AUTOMATIC TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai Aau summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Ianxn egri y Iest <br /> lank Gauging Proceaure kollowed <br /> PIPING MONITORING <br /> Daily Suction P' in Monitorincr r23CCR Apip.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 <br /> �{ r <br /> ID !n11 REMOVAL �U c �23CGe Zk 'L TANK <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Cro-s-e-a or Temporar y Closed 23CCR 2670 <br /> ,VEHS ECTION DATE/TYPE: n v I b' <br /> RECEIVED BY: l PHON _ <br /> Revised Date 7/15/97 23 CCR UST Re gs May 5, 1994 PAGE ofa <br /> PHS 260 (4/98) <br />