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PUBLIC HEALTH SERVICES SAN JOAQUIICOUNTY <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 61,s TaSAkX de. ✓L C P Program _L44- <br /> Facilitycility Address.31r3 I Arc, A f oQ, City_ S9`0G/cy*V%' zip F3-RQtf—b3M <br /> UST: Dual Wall Single W 1 OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: D al wall Single wall Suction3tPressure Gravity <br /> D083 THE LHAR DETECTION Y THM meet 23CCR 2636 (8) requirements? YES NO� <br /> VIOLATIONS <br /> UST GENERAL R8 UIRHMENTS TRK <br /> Permit to erate [H&SC 252841 T <br /> orma & urrent LH&SC 25284 (b) (c) ] <br /> Moni rin Maintenance Records F23CCR 2712 b <br /> Monitoring Records Available23CCR 2712 <br /> MonitoringPlan 23CCR 2632 d 1 <br /> Resnonse Plan r23CCR 2612 (d) (2) 1 <br /> Unauthorized Releasee Re orted [H&SC 252951 <br /> Monitoring Equipment Annua 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 F23CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- ar a ion Procedure Followed L2JUUK ;db4b ke) <br /> ORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years 123CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily Stick Reading c <br /> AUT ING (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 /> Annual an n egrl y lest <br /> -ranku ing Proceaure Followea <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring <br /> Piping Tightness Test 123CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> Annual <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closedor Temporarly Closed [23CCR 7 917 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE__I_of <br /> PHS 231(aeon <br />