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PUBLIIC�HEALTH SERVICES SAN JOAQU COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE TANK (DST) PROGRAM INSPECTION REPORT <br /> Facility Name StiA! yyEr�-rLi-per_ 1 Program ID# <br /> Facility Address ZVA't7 )n'- Cityo,0 Zip <br /> IIST: Dual Wall Single Wall OVERFILL: AudibleisualMechanical <br /> PIPING SYSTEM: Dual wall single wall Suction_Pressure_ Gravity <br /> D083 THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to 'rate [H&SC 252841 <br /> orms & urrent [H&SC 2 4 c <br /> M <br /> nitoring/Maintenance Records 123CCR 2712 b <br /> Financial Responsibility rHrSC 2r9.951, 2 (,) l <br /> Monitoring Records Available 123CCR 2712 <br /> Monitoring Plan 123CCR 2632 d 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23CCR 2630 <br /> ver spill 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 1/8 Inches r9.'Ar(R 2646 (c) (1) (Ell <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- ar a ion Procedure Followed L23CCR 2b4b FeTT <br /> _jTATIST1LQhULL_INVZKTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Intecrrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> Daily Stick Rea-d—iff—g7ncuKc <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly 123CCR 2645 (b) ] <br /> Annual an n egri y iest <br /> ranx ciaugingroc' ure I-oliowea <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring r23CCR ADD.II1 <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Grayit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> 8DS0 <br /> ose or Cease Operation H&SC 25298 <br /> 'move , Closed or Temporar y Closed [23CCR <br /> REai--7/d, C- INSPECTION DATE/TYPE: 7 Z S oti'q� <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of Z— <br /> PHS 231(WM <br />