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.o <br />PUBLIC 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 (DST) PROGRAM INSPECTION REPORT <br />Facility Name Program ID# <br />Facility Address -5-so F-=, A:E- d`4'0r9_ City_ Zip <br />DST: Dual Wall Single Wall OVERFILL: Audible isual Mechi <br />PIPING SYSTEM: DuLE"l wall Single wall Suction Pressure G: <br />DOES THE LBDETECTION SYSTEM meet 23CCR 2636(g) requirements? YES <br />DST GENERAL R8 DIREMENTS <br />Permit to O erste [H&SC 252841 <br />Forms & B urrent LH&SC 25284(b)(c)] <br />M nitorin Maintenance Records 2 CCR 2712 b <br />Financial RpRponnihilit-y [HzSC 2r799, 9,(,)l <br />Monitorin Records Available 232CR 2712 <br />Monitorin Plan 23CCR 2632 d 1 <br />Unauthorized Releasea Re orted [H&SC 252951 <br />Monitoring Equipment AnnusCert. 23CCR 2630 <br />er spill on alner <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- aria ion roce ure Followed L23CCR 264U7e)j <br />Inconclusive Procedure Followed 23CCR 2646.1(d)] <br />UST Inte rit TestEver Two Years 23CCR 2646.1 <br />Annual SIE Report 123CCR 2646.1(j)] <br />ai y is ea ing c <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual nx Integrity es <br />au in roce ure L-01—Lowed <br />Piping Tightness Test 123CCR 2643 b c d <br />Grayit Pi in Tested Ever 2 Years 123CCR 2643(e)] <br />Mont y Line Teat 23CCR 2643 CT <br />2Tj <br />T REMOVAL 11 <br />Perms ose or Cease Operation LH&SC 25298 <br />-1Fe-m—ov—ea—,-c-1osea or Temporarly closed L23=--f�luj <br />REHS eFB=/G INSPECTION DATE/TYPE: <br />RECEIVED BY: <br />PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 260 (4/88) <br />