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M <br />PUBLIREALTH SERVICES SAN JOAQ'U*I1q`CO UNTy <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 ]a - b (a 0 S �' r ogram ID# -a3b-lq <br />Facility Address_ too e - oiv � ",, �'—City zip <br />UST: Dual Wail VSingle Wal,1_OVERFILL: Audible Visual Mechanical& <br />PIPING SYSTEM: Dual wall v,** -Single wall Suction Pressure 4-oloo'GraV3,ty­ <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES N0 <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS n <br />Permit to Operate [H&SC 25284] <br />Forms A& BCurre:n:t�H&S�C5284c)] <br />MonitoringZmaintenance Records [23CCR 2712(b)] <br />Financial Re pQn8jhiiitv ri4&SC 2S292-2(A)l <br />Monitoripq Records Available [23CCR 27121 <br />MonitoriR2 Plan [23CCR 2632(d)(1)] <br />asnonsa Plall [23CCR 2622(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />New USTs Monitored Continuously [23CCR 2630) <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <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 is Readin [23CCR 2646 (c) (13 T - <br />Monthly ATG Results [23CCR 2643(b)(1)] 11 1 1 11 <br />Tank Gauging Weekly [23CCR 2645(b)] <br />-Anf1U­a­l--Tanx integrity Test L .4 6 UUM -Z b 4 b t .0) J <br />-Piping Tightness --- TestJ23CCR 2643(bd)] <br />Gravity Piping Tested Every 2 Years [23CCR-2643(e)] <br />JU•ly Line Test -[-23CCR26U(c) (2)] <br />0 aErj 1-1 W a M wows I <br />RECEIVED BY: 6,AJU�­A <br />Revised Date 7/15/97 <br />PHS 231 (W) <br />PECT ION DATE/TYPE: <br />PHONE: <br />23 CCR UST Regs May 5, 1994 PAGE -of <br />