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PUBLICOEALTH SERVICES SAN JOAQUI` COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor P.O. 388 Stockton, CA 95201-0388 C <br />209/468-3420 <br />TANK PROGRAM OFFICIAL INSPECTION REPORT <br />Facility Name Facility ID# <br />Facility Address YJ j , ( r City _zip <br />Facility Phone # C 4—t Facility Contact <br />Inspection Date: L Inspection type: <br />UST Dual Wall Single Wall OVERFILL Audible Visual4k Mechanical <br />UST Monitoring Alternative 40-a4e UST Contents / /fes <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure G vi ty <br />DOES THE LEAK DETECTION SYSTEM shut off the pump autom tically? YES NO <br />VIOLATIONS <br />��..6. Ir <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&S 252841 <br />Forms A & B current c <br />Monitoring/Maintenance Records L23CCR 2712(r))] <br />Financial Responsibiiity LH&S 25292.2(a)] <br />monitoring Records vai a e <br />-L23CCR 27121 <br />oni oring PINK <br />Response Plan 23CCR 2632(d)(2)] <br />Unauthorized Releases Reported H&S 25295 <br />Monitoring Equipment Annua Test 23CCR 2630(d)] <br />ver s iLI Container <br />Permitted UST Re airs [23CCR 26611 <br />Permitted U ra 2 R 266 <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />MANUAL INVENTORY RECONCILIATION MIR <br />UST Integrity Test [23CCR 2643.1] <br />Annual MIR Re ort 23CCR 2646 <br />Meters Calibrated 23CCR 2646 e 4 <br />Daily Stick reading 23CCR 2446 c 1 <br />Gauging Stick in 1/8 inches [23CCR 2646(c)(1)(E)] <br />STATISTICAL INVENTORY RECONCILIATION LEIRI <br />Excessive Variation Reported 23CCR 2646.1 <br />Integrity es every two years g <br />Annua SIR Report 23CCR 2646.1 <br />Dally sticR Readiffg- c <br />AUTOMATIC TANK GAUGING JATG <br />Monthly ATQ R sults 23CCR 264 1 <br />Annual ATG Summary Report [23CCR 2712(b)(2)] <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual Tank Integrity Test L23CCR 2645(b)] <br />PIPING MONITORING <br />Daily guction Piping Monitoring L23CCR App.III <br />Pipirig rtgntness, <br />Gravity Piping Tested every 2 years L23CCR 2643(-eTT— <br />MontFlIy Line rest L23CCR 2643(c)(2)] <br />Annual ea etector test L23CCR App.lV(1)(d)] <br />IL <br />SYSTEM STATUS: <br />TITLE: 1 -Yr. <br />Major Viol._ <br />- f <br />ol. No Viol. <br />RECEIVED BY: <br />Revised Date 10/15/96 23 CCR UST Regs May 5, 1994 <br />