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%0001 *4104 <br /> 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 STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name 1V� l�11 -k Program ID# <br /> Facility Address '.JA * ity _ zip <br /> UST: Dual Wall Single Wall OV8R8ILL: udible_Visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wally Suction_Pressure Gravity" <br /> DOES THE LEAK D8T8CTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO� <br /> VIOLATIONS <br /> UST GENERAL R8 IIIRSM8NT8 TANK # <br /> Permit to Operate [H&SC 252841 <br /> orfs A & B Current & 5 c <br /> Moni orin Mainten n Records 123CCR 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> Mon itorin Plan 23CCR 2632 d 1 <br /> Response Plan C FZ <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment Annus ert. L23CCR 263UTffTT- <br /> Over spill on ainer 123CCR 26 <br /> PQrmittPtj UST Repairs r9.3rrR 26r11 <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST TntPQrjty_TPmt 19.100P '�94A 11 <br /> Meters Calibrated rq-AccR 2646 (i) l <br /> Gauging Atink in 1)9 TnnhAn [23CCR 294r (cl (i ) (Ell <br /> Monthly Variations Calculated [23CCR 2646(d) ] <br /> x- aria ion Procedure Followea LZJCCK 2bZ6 (—eTT <br /> STATISTICAL INVENTORY RRCONCTT.TRTTON (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 /> aly is ea ing c <br /> AUTOMATIC TANK GAUGING (ATO) <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 nx integrity es <br /> Uauging Procedure L-ollowea <br /> Piping Tightness Test 123CCR 2643 b c d <br /> GravityPi in Tested Eve 2 Years 123CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit e or Cease Operation LH&SC 25298 <br /> emove , osed or Temporarly Closed <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: �]Q�/.L PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGELof Z— <br /> PHS 280 (4/88) <br />