Laserfiche WebLink
PUBLIC HEALTH SERVICES SAN JOAQU NI COUNTY <br /> EEbeNENTALHEALTHDDIVISION E. Ave , Stockton, 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name l_.Qr-� �/=, Program ID# <br /> Facility Address CA _City Zi <br /> UST: Dual Wall Ingle Wall OVER ILL: Audible_Vi ual_Mechanical <br /> PIPING SYSTEM: Dual wall S ngle wall 10 Pressure Gravity <br /> DOSS THE LEAK DETECTION SYSTEM meet 23CC.92636 (g) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to O erate [H&SC 25284] <br /> orms & B Current [H&SC 25 4 c <br /> Monitoring/Maintenance Records I23 CR 2712 b <br /> Financial gpAnnnsihili <br /> Monitorincr Records Available 123CCR 2712 <br /> Monitorin Plan 23CCR 2632 d 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> e_77r s i on ainer <br /> Permitted UST RPpairq r7'A(7('R 26611 <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> meters calibrated 123CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- ar a ion Procedure boilowed LZ3UUX Zb4b (e) j <br /> STATISTICAL INVENTORY RE ON !L TTON (ATRI <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 Reaolng c <br /> AUTOMAT TANK GAUGING (ATQ) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai ATG Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual a n eg 3 y rest <br /> Tanx au i rote ure oiiowea <br /> PIPING MONITORING <br /> Daily Suction <br /> Piping Tightness Test r23CCR 2643 b c d <br /> Grayit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close orCease Operation H&SC 25298 <br /> Remove Closedor mporar y C ose C R <br /> RE INSPECTION DATE/TYPE: D <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(&97) <br />