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PUSLI�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 /G Program ID## p, <br />Facility Address f` 4 /p City J 0 "'"\Zip �;Z� <br />UST: Dual Wall Si gle W O RFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />1 VIOLATIONS <br />UST GENERAL REQUIREMENTS LL I <br />Permit to Berate [H&SC 252841 <br />orms & urrent H& 25 4 c <br />Monitorin Maintenance Records [23CCR 2712(b)] <br />Monitoring Records Available23CCR 2712 <br />Monitorin Plan 23CCR 2632 d (1 <br />Rannnnsgp Plan r9l= 2632(d)(2)] <br />)21 <br />Releases Re orted [H&SC 25295] <br />Monitoring Equipment Annua Cert. 23CCR 2630 <br />er 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 r23ccg 2646(i)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- ar a ion Procedure Followea L23CCR 2646 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 />Daily Stick ReafflIng c <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Ann <br />ua Summary epor <br />MANUAL QST TANK GAUGING (NTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual an n egri y es <br />Tank augin roce ure o o e <br />MonitoringPIPING MONITORING <br />Daily Suction Piping <br />Piping Tightness Test r23CCR 2643 b c d <br />Gra vit Pi in Tested Eve 2 Years 123CCR 2643(e)] <br />Mont y Line Test 23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Remove C ose Temporar y ose CCR 2670 <br />���INSCTION DATE/TYPE: �44,A E <br />RECEIVED B PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE—of— <br />PHS <br />AGEof <br />PHS 231 (MM <br />