Laserfiche WebLink
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 Program ID# <br />Facility Address City �Zi <br />UST: Dual Wall 7 Single Wa ?;Kical <br />—%'-- ,11 OVERFILL: Audible Visual Me�c4 <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure A ravAy_ <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES V NO <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & R-Cu--rrent [H&SC 2528 <br />Monitoring/Maintenance Records [23CCR 2712(b)] <br />Financial Rasnnngibility rmZsc 25222,2(d)] <br />Monitoring Records Available [23CCR 27121 <br />monitoring Plan [23CCR 2632(d)(1)] <br />Rpsnnnne Plan r2lrC!R 2612(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630(dTT—' <br />1i on CCR 26350D)j <br />]2e -nitt-jad 11SI Rpn;;irq r2-ArrR 29911 <br />_PE_13ai±.La, -_ -- [23CCR 26601 <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />!rri tv <br />AD3331=1 MIg Report __r,),,arrP .)rArfcT)1 <br />Ngtgrg Calibrated 23CCR 2646(i)j <br />Dai3jz Stie-le Pm=Ainm r,.)irrp <br />_fu-LUgjn _jqt--ir-k in 1�8 Tnr-,heg r2;rrR 2fi!jE1L111LLU1_L_ <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-Varia Eion ProceUure Follow_e_a7-MCCR 2646(eYT <br />e%W If C <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years F23CCR 2646.1(g)] <br />Annual SIR Report [23CCR 2646.1(j)] <br />DaiIy is —ea ing 46--(c)(-11T <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />=muaI XTG Summary-Re-porE [23CCR 2712-(bTU2TT— <br />MANUAL UST TANK GAUGING (KrG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual an integrity -rest L23CUR 2645__(K))j <br />TXF11Z Gauging ProcecLure""FZ5:[Iowe <br />d--r23uUX :9b4b(CL)j <br />Daily Suction Piping Monitoring [23CCE App.111 <br />Pi in Tightness Test [23CCR-2643(b).(c (d)] <br />Gravity Piping Tested Every 2 Years [23CCR2643(e)] <br />Monthly Line Test [23CCR 2643(c)(2)] <br />MMuaI Leak D9teCZ0r_ae�LZ.5UUK meb_iUka)J <br />TANK REMOVAL <br />Permit to Close or Cease Opera_t—ion­_TH_&SC 252981 <br />Removed51osor Temporar y Closed [23CCR 2670] <br />1 <br />RENS If 1. - VIA INSPECTION DATE/TYPE: 7- 2,( —14 <Z,, <br />I " U <br />RECEIVED BY: PHONE: qu 7 4) <br />Revised Date 7/15/\V 23 CCR UST Regs May 5, 1994 PAGE of—> <br />PHS 260 (4/98) <br />13 <br />fl <br />