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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 />UNDERGROUND STORAGE T (UST) ROGRAM INSPECTION REPORT <br />-- <br />Facility Na me► '` Program ID# <br />% <br />Facility Address'Cit yx `"< . /zr,'Zip <br />UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction—F—Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />u <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current H&SC 25284 c <br />Monitoring/Maintenance Records f23CCR 2712 b <br />Financial Responsibility rH&SC 25292-2(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 />ver spill on ainer <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />UST Tnt--F-arity-TP--qt- 121CCR 2943-11 <br />Meters Calibrated r23CCR 264 6(1)1 <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- aria ion Procedure Followed L23CCR 2646(e)j <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 />AUT)MATIC TANK GAUGING (ATM <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />nuasummary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />nual -ianic integrity lest <br />Iank Gauging Procedure kollowea <br />TTORTNr- <br />Daily Suction Pining Monitoring r23 R App.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 e or <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />—Ke—moved, Closed /or Temporar y Closed 23CCR 2670 <br />REHS ,� .T°° �° " ry INSPECTION DATE/TYPE: !` <br />RECEIVED BY: PHONE <br />Revised Date 7/15/97 23 CCR UST Regs May 5", 1994 PAGE-" <br />PHS 260 (4/98) <br />