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"4147" tf Flea; ,.a,:.�.,�,cy• �i.�7' 1 `�y [-,...., ':� t..�. '-_t_...�' w, d. `,.. f •.A ��Y' <br /> x <br /> v <br /> PUBL HEALTH SERVICES SAN JOAQU 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 NameProgram ID## <br /> Facility Address // �.. ;. ?• r , ,, y;, City zip <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual_Mechanical X <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES "L--NO <br /> VIOLATIONS <br /> TANK ## <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 252843 <br /> Forms A & B Current LH&SC 25284 c <br /> monitoring/maintenance Records 23CCR 2712 (b) ] <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. L23CCR 2630 <br /> over spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters a i rated r23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> EX-Variation Procedure FoiiowecL L23CUR 2646 (e) j <br /> !STICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 (q) <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> Daily Stick Reading c <br /> AUTOMATIC TANK GAUGING (ATQ) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai ATG summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual rankn egri y Iest <br /> an Gauging roce ure FollowecL <br /> PIPING MONITORING. <br /> Daily Suction Piping Monitoring 2 CR Aipp.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 eDefector <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closeor Temporar y Closed <br /> 23CCR 2670 <br /> REHS { INSPECTION DATE/TYPE: <br /> r <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 Y X23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(9/97) <br />