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PUBLIZ HEALTH SERVICES SAN JOAQUI�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 l^W/ 5wO,c7--Program ID# <br /> Facility Address 4fkD �fy�' City GVO/ 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 /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> it errten[H&SC 25284]PFOM touret <br /> [H&SC 25284 c <br /> Monitoring/Maintenance Records r23CCR 2712 b <br /> Financial Responsibility [HrAr 7q2Q,,> <br /> Monitoring Records Available 123CCR 2712 <br /> Monitoring Plan 23CCR 2632 d 1 <br /> Unauthorized Releases Re orted [H&SC 252953 <br /> Monitoring Equipment Annua Cert. L23CCR 2630 <br /> Over spill on alner [23CCR Zb3b (b) ] <br /> Cathodic Protection r23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> meters Calibrated F23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Proceclure Foliowect L23CUR 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 TMQ (ATf2i <br /> Monthly ATG Results 123CCR 2643 (b) (1) ] <br /> Annual ummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y rest <br /> rank Gauging Proceaure Followea <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring <br /> Piping Tightness Test 23CCR 2643 b c d <br /> GravityPi in Tested Eve 2 Years 123CCR 2643 (e) ] <br /> Mont y Line Teat 23CCR 2643 c 2 <br /> TANK REMOVAL 7" <br /> Permit to Close or Cease Operation H&SC 25298 <br /> -femoved, Closeaor Temporar y Closed 7 <br /> REHS�E'y INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: �1 <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_�__of {� <br /> PHS 231 M" <br />