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PUBLI�HEALTH SERVICES SAN JOAQUI�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 ( _/72Lr TaAk AJC Program ID# a �3/,/1'© 9�J <br /> Facility Address 3Jo5 S. � D-en((J4 City Gl�V fA zip 't,]a6 <br /> UST: Dual Wall Single Wall A OVERFILL: Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure�Gravity <br /> DOHS THE LEAK DETECTION SYSTEM meet 23C636 (g) requirements? YESNO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS FJ <br /> Permit to O erate [H&SC 252841 <br /> Forms A & B urrent LhkbU 2b,&U4 c <br /> Monitorin Maintenance Records F23CCR 2712 b <br /> Financial Responsibility rH&AC 29;292.2. (A) l <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Response Plan f23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23CCR 2630 <br /> Over spill on ainer <br /> (vv <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 rya "Ice 4 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23ccg 2646 (i) l <br /> Gauaina Stick in 1/8 Inches F23CCR 2946 (r) (1 ) (E) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure Foliowee) j <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 Reading26TC-73717 <br /> AUTOMATIC TANK GAUGTW(- I&Mrl <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary xeport <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y es <br /> TanK uaugingroce ure o owe <br /> _RIPING MONITORING <br /> Daily Suction Piping iApy.Ill <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gra <br /> vit Pi in Tested Ever 2 Years [23CCR2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closedor Temporar y Closed 23CCR 70 <br /> REHS LQ 1 1 r,_ NSPECTION DATE/TYPE: sLdaC.. <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE I of <br /> PNS 231(8181) <br />