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J <br /> PUBLIC HEALTH SERVICES SAN UOAQUIN 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 INSPE,,CI1TION REPORT <br /> Facility Name i—piZild GiZ-a" Program ID# rTJ 1] 1 7 <br /> Facility Address o26ps / 1/Li/ Cityyl-nC l Zip <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall x Suction Pressure Gravity <br /> DOHS THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO Y <br /> VIOLATIONS 7"— <br /> VST GENERAL RE UIREMENTS TANK # <br /> Permit to O erate [H&SC 25284] <br /> Forms A & Current H&S 25284 (b) c <br /> Monitoring/Maintenance Records r23CCR 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 (d (1) ] <br /> Resnonse Plan [2'4('CR 26'42 ( <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment .. Cert. 23CCR 2630 <br /> ver s i on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> no <br /> MANUAL INVENTORY RECONCILIATION (MIR) – S <br /> 1 11 <br /> Meters Calibrated r23QcR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Proceaure Followea [23CUIZ 26TCTe—TT <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST T— <br /> ntecrrltvTest Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> ai y is ea ing c <br /> AUTOMATIC TANX GAUGING (ATr-) <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) ] <br /> ua.L ranr integrity rest <br /> lank uaugingroce ure koilowea <br /> Daily Suction Pipincr Monitoring [23CCR AnD. Ill <br /> Piping Tightness Test r23CCR 2643 b c d <br /> Grayit Pi in Tested ver <br /> 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close or Case Operation H&SC 25298 <br /> Removed, Closedor Teera <br /> mpor y Closed 23C 70 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS260 (4/98) <br />