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PUBLIC HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND STORAGE TA�NK/ (U T <br />) PROGRAM INSPECTION REPORT <br />Facility Name �- J V ' v O Program ID# <br />w <br />Facility Address-� � i(Q City �� Zip <br />UST: Dual Wall Single Walls OVERFILL: Audible V sualMec ical <br />PIPING SYSTEM: Dual wall�ingle wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />TTwnr u � � <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <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 r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 237CR 2630 <br />Over spili Container <br />Permitted UST Rpnairs [2'IC'(R 26611 <br />3'�16 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />4 <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -Variation Proceaure Foliowed L23CCR 2b4b(e)j <br />STA=TTCAL 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 Reading c <br />AUT)MATTC TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annuai ATG bummary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annuai Tanicn egri y es <br />iank Gauging ProcecLure oiiowea <br />PIPING MONTTORTNC <br />Daily Suction Piping Monitoring r2 R A .II <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test 23CCR 2643Tc-TT27T— <br />Annuai EeaX Detector lest <br />TANK RE AL <br />Perms t Close ase Operation H&SC 25298 <br />Remo s r orar y Cse 23CCR 2670 <br />REH <br />INSPECTION DATE/TYPE: <br />tY <br />-I <br />, <br />RECEIVED BY: <br />S <br />- PHONE: f��i <br />d33-- <br />3'�16 <br />Revised Date 7/15/97 <br />PHS 260 (4/98) <br />23 CCR UST Regs May 5, 1994 PAGE of <br />