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PUBLIL 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 GylIE1�Qe,� Program ID# <br />Facility Address City LaaOL Zip <br />UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />T T 1Ti1 11 <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current TH&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 252951 <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />ver spill on ainer [23CCR 2635(�b)j <br />Permitted UST Rpnairs r2-1('CR 26611 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters i t 2 R 264 6(1)1 <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Proceaure o owe e <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 />ai y Stick ReacLing L23CCR 2646 kc)(1)j <br />AUTOMATIC TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />nual I'ank Integrity es <br />Tank auging Procecture FoiIowect <br />PIPING, MONITORING <br />Daily Suction Piping Monitoring 2 CR Aipp.IV <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test 23CCR 2643 c 2 <br />,Annualea s <br />TANK REMOVAL `7 <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, Ciosed or Temporar y Closed 23CCR 2670 <br />REHS- INSPECTION DATE/TYPE : 8%Y�j/gb' <br />RECEIVED BY: <br />Revised Date 7/15/97 <br />PHS 231 (9/97) <br />PHONE: <br />23 CCR UST Regs May 5, 1994 PAGE I of-�—> <br />