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r � <br /> • <br /> 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 � C. J, ` C'A I Program ID#_ l�KU;/3lq <br /> Facility Address �L �� � �` , � ' City E� U IQ" Zip ?27, <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall�Single wall SuctionPressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> TANK # t <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current H&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 r23CC!R 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 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 Calibrated 2 <br /> Gauging Stick in 1 /8 TnchPA r23CCR 2r,46 (c) (I-) (F) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followed L23CCx 2b4b (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 /> Daily Stick Reading c <br /> AUTOMATIC-TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> nual -1—ank integrity lest <br /> Tank auging ProceFlure o owe <br /> PIPING, MONITORING- <br /> Suction Piping M n' r'n [23CCR App.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 e r iest <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Remove27, Closed or Temporar y Closed 23CCR 2670 <br /> AEHS ' NSPECTION DATE/TYPE: <br /> RECEIVED BY: - F t PHONE: W -421 ±21 <br /> Revised Date 7/15/97 _ 23 CCR UST Regs May 5, 1994 PAGE _Of A <br /> PHS 260 (4/98) <br />