Laserfiche WebLink
PUBLIC 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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name hkl,� )Aft,&AFacility ID# <br /> i <br /> Facility Address sWbn s. Pus, City �� ci4 Zip <br /> Facility Phone # Facility Contact <br /> Inspection Date: Inspection Type: <br /> UST: Dual Wall_ Single Wall_ OVERFILL: Audible_ Visual- <br /> Mechanical-UST Monitoring Alternative UST Contents <br /> PIPING SYSTEM: Dual Wall Single Wall Suction Pressure Gravity <br /> Does the leak detection system shut off the pump automatically? YES_ NO_ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&S 252841 <br /> orms A & b current c <br /> Monitoring/Maintenance Records <br /> Financial Responsibility H&S 25292.2 a <br /> one oringecor s vai a e L23CUR 2 /121 <br /> monitoring an <br /> Response Plan L23CCR 2632 (d) (2) 1 <br /> Unauthorized a eases Reported H& 25295] <br /> Monitoring Equipment Annual Test L23CCR 2630 <br /> over spill on ainer <br /> Permitted UST Repairs 23CCR 2661 <br /> Permitted Upgrades [23CCR 2660] <br /> Cathodic ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Integrity Test [23CCR 2643.11 <br /> Annual MIR Report 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Daily tic reading R 44 c 1 <br /> Gauging Stick in 1/8 inches [23CCR 2646 (c) (1) (E) ] <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported 23CCR 2646.1 d <br /> USE Integrity es every two years <br /> Annual SIR Report L23CUR 2646.1 <br /> Daily sticK Reading L23CCR 264b kC) <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthl ATG Results [3CCR 2643 (b) (1) ] <br /> Annus ATG Summary Report L23CCR 2712 2 <br /> MANUAL UST TANK GAUGING <br /> Tank Gau in Weekl 123CCR 2645 (b) ] <br /> Annua Tan Integrity Test 23CCR 2645 <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring [23CCR A .II] <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> Gravity i ing Tested every 2 years e <br /> Monthly Line Test L23CUR 2643 c 2 <br /> ,imuai Leaka ec or test L23CCR App.lV(1) (d) j <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: 15g� <br /> REHS: RECEIVED BY: <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />