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PUBLI HEALTH SERVICES SAN JOAQH'IN 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 kjep (C. Program ID# <br /> Facility Addres '* ' city "S Dt. ti✓`' Zip <br /> UST: Dual Wall Single Wall OVER ILL: Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall._Y Single wall Suction Pressure:>�Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to operate [H&SC 252841 <br /> Forms A & B Current LII&SC 25284 c <br /> Monitorin Maintenance Records 23CCR 2712 (b) ] <br /> Financial ResnQnsihility rHF,.qr 2S292 <br /> monitoring Records Available 23CCR 2712 <br /> Monitorin Plan [23CCR 2632 (d) (1) ] <br /> Unauthorized Releases Reported [H&SC 25295] ✓ <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> Over s i Container <br /> Cathodic Protection J23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> MeLerg CalibKated f23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Foiiowed L:23CCR 2b4b (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 Reading c <br /> AUTOMATIC TANK raAIZGTNG (&Jr.) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> —Annual ummary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) 3 <br /> Annual Tankn egri y lest <br /> -IanK Gauging Yroceaure 14011owecL <br /> ail Suction Piping Monitoring 2 R AiDI2.Ill <br /> Pi in <br /> Tightness Test 23CCR 2643 b c d <br /> �Q. r <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> NAUAII Monthly Line Test 23CCR 2643 c 2 <br /> U e <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation 1H&SC 25298 <br /> Removed, Closed-or Temporar y Closed 23CCR 2670 <br /> REHS " INSPECTION }DATE/TYPE: TS Z <br /> RECEIVEI? BY: <br /> � 1 PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_I_of_]_ <br /> PHS 231(9/97) <br />