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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 TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name DS C o-yL (c-/0-yq program ID# <br /> Facility Addres�q 60, (�i' City ��®L� zip !? 'AQ <br /> UST: Dual Wall Single Wall O FILL: Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction_>C,_PressureGravity, <br /> DOES THE LEAK DETECTION S EM meet 23CCR 2636 (8) requirements. YESNO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current LH&SC 25284 c <br /> Monitorin Maintenance Records F23CCR 2712 b <br /> Financial Responsibility fg&SC 2S292 2 (a) l <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Resr)onse Plan F23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. L23CCR 2630 <br /> ver s i on aimer 123CCR 2635 (b) ] <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters calibrated r23CCR 2646 (1) 1 <br /> Gauaina Stick in 128 Inches r2l= 2f;46 (c) (1) (R) i <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 /> AUTOMATTC TANK GAUGING (ATG) <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 /> nua.L Tank Integrity lest <br /> Tank GaugIng Procedure PoMwea <br /> PTPTMQ MONITORING <br /> Daily Suction Piping monitoring f2 R ADD.III <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 /> u e <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y CloseErL23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> / PHONE: <br /> Revised Datt 7/15/97 23 tCR UST Regs May 5, 1994 PAGE of _ <br /> PHS 260 (4/98) <br />