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 b y i V'TrjiA V�// A -(� Program ID# '99()5)5 2(o 4 <br />-'36IV� I yr ) City 1 . bri Zip 5 (0 <br />Facility,Address <br />UST: Dual Wall Single Wa]1 OVERFILL: Audible Visual_ Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction PressurejZ Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />TANK # <br />n Permit to Operate [H&SC 252841 <br />�n Forms A & B Current H&SC 25284 c <br />Monitoring/Maintenance Records [23CCR 27121 <br />Financial Respnnsibility rH&SC 2S292.2(a)l <br />Monitoring Records Available [23CCR 27121 <br />Monitoring Plan [23CCR 2632(d)(1)] <br />Resgons_e Plan (23CCR 2632 (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 />Ex -Variation Proceaure Followea L23CCR e <br />Inconclusive Procedure Followed [23CCR 2646.1(d)3 11 1 1 11 <br />UST Integrity Test Every Two Years [23CCR 2646.1(8)1 11 1 <br />Annual SIR Report [23CCR 2646.1(1)1 11 1 1 <br />liaily bticx Reaaing (23CCR 2646 (c)(1)J 1 <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Daily Suction Piping Monitoring [23CCR App.Ill <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 />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, -Closed or Temporar y Ciosed L23CCR 2670 <br />A.EHS NSPECTION DATE/TYPE: I(7 <br />RECEIVED BY: PHONE:�9�7� <br />Revised Date 7/ 5/ 7 23 CCR UST Regs May 5, 1994 PAGEof <br />PHS 260 (4/98) <br />