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PUBLI'tr�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 e-ml I ���Q �/ ogram ID##L ,/ate� .3 <br /> Facility Address 55000 L r—h 0� (` rcity 514206 * Zip 5 IS <br /> UST: Dual Wall Single Wall >< OVERFILL: Audible—Visual—Mechanical <br /> PIPING SYSTEM: Dual wall Single wall *>< Suction_Pressure Gravity� <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO <br /> TANK # W. 8 VIOLFIONS LLL. <br /> UST GENERAL REQUIREMENTS <br /> Permit to O erste [H&SC 252841 <br /> Forms A & B urrent tki&SC 25284 c <br /> Monitoring/maintenance Records 23CCR 2712 b <br /> Financial Responsibility FH&SC 2S292-2 (a) l <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) <br /> Response Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annus Cert. L23CCR 2630 <br /> over s 1 on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Gauaina Stick in I/R Inches [23CCR 2646 (c) (1) (B) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure Foiiowea L23UCR eb4bke) j <br /> 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 Reaaing c <br /> -A=OMATIC TANK GAUGING (ATr) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual a n egri y lest <br /> lanx uaugingroce ure PollowecL <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring r2 <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gra <br /> vit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c) 2 <br /> Annual <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation LH&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2670 �}. <br /> REHS INSPECTION DATE/TYPE: 5-a/ qF' ,�j "a�. — p d <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of_ <br /> PHS 231(9/Sl) <br />