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PUBLI 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 GLYMP-!�).cl I.�9 i3� Program ID# 3�c� <br /> 0 <br /> Facility Address 50/ Ty, Ld,;>1 AvZ City tZ41 zip 9�ZHy <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 /> VIOLATIONS <br /> TAMC # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current H&SC 25284 c <br /> Monitoring/Maintenance Records F23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Response Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> Over spill on a.iner <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> meters alibra 2 i <br /> -Gailaina Stick in 1/8 Inches r21CCR 2646 (c) (1) (F) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure o owe e <br /> STATISTICAL 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 /> ai y Stick Reading c <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai ATG Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annuai Tankn egri y iest <br /> lank Uauging Procedure ollowea <br /> PIPING MONITORING <br /> Daily Suction Piving Monitoring f2 CR Aipp.Ill <br /> Pipincr Tightness Test 23CCR 2643 b c d <br /> Gra <br /> vit Pi in Tested Ever 2 Years [23CCR2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> Annuai 1,ears <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25296 <br /> Removed, Ciosed or Temporar y C ose 23CCR 2670 <br /> REHSINSPECTION DATE/TYPE: / 9 <br /> q.�Ai c..EG7.F.£a7'f-o • .M p(�,3oK,An.S <br /> RECEIVED BY: =657 PHONE: <br /> 5- 9 6Zo-7 <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of -7 <br /> PH5231(9/97 <br />