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.ti <br />PUBLIPEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />• <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND STORAGE TANK (UST) P10 RAM INSPECTION REPORT <br />Facility Name ! /V -i t k -C"1 � � Program ID# p� �` <br />Facility Address ri KkcAa1, Cityt� �G'll �- j <br />UST: Dual Wall ,--Single Wall OVERFMMrLL" Audible Visual_ Mechanical 1/ <br />PIPING SYSTEM: Dual wall�ingle wall_Suction�_Pressure_Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES N0 <br />VIOLATIONS <br />VST GENE AJxE ulxMM5V'a <br />Permit to O erste [H&SC 2-5241 <br />Forms A & B Current H&S 25 84 c <br />Monitoring/Maintenance Records L23CCR 2712 b <br />Monitorin Records Available 23CCR 2712 <br />Monitorin Plan [23CCR 2632 (d) 1)] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annus Cert. 23CCR 2630 <br />Over s i on arner <br />Cathodic Protection23CCR 2635 a 2 A <br />New USTS Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters rate F23CCR 2646(i) <br />0g,jaina stick in 1/A Inches [9.'ACrg 2r46(c)( <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- aria ion roce ure o owe e <br />INVENTORY RECONC <br />STATISTICAL <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Inte rit Test Ever Two Years 23CCR 2646.1 ) <br />Annual SIR Report [23CCR 2646.1(1)] <br />-D-a-jTy-=3-ck Reacting L2=17=6 133 <br />TANK GAUGING (AT("I <br />AUTOMATIC <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />nua ummary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />nua iank IIILUqLiUy es <br />an auging 1 roce ure o owe <br />MQNTTQ <br />PIPING <br />Daily u ti n Piping Monitoring 2 CRA .II <br />Pilping Tightness Test 123CCR 2643 b c d <br />Gravit Pi in Tested Ever 2 Years [23CCR 2643(e)] <br />Month y Line Test 23CCR 2643 c 2 <br />Annuai LeaKe <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removed, Ciosed or Temporar y Closed 23CCR 2670 <br />)qEH <br />R INSPECTION DATE/TYPE: <br />��FF <br />*U- ✓ U - <br />RECEIVED BY: vp(,(�.J PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 231 (9/97) <br />