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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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name <br /> Facility Address Facility ID# Z <br /> Facility Phone # City 12ti Zips <br /> Inspection Date: Facility Contact <br /> UST: Dual WallV Single Inspection Type: 4 <br /> LIST Monitoring ternativeaI OVERFILL: Audible <br /> Visual Mechanical' <br /> PIPING SYSTEM: Dual Wal UST Contents + <br /> — Single Wall_Suction Pre sure <br /> Does the leak detection system shut off the pump automatically? Gravity <br /> YES_ NO <br /> UST GENERAL RE UIREMENTS TANK # VIOLATIONS <br /> Permit to Operate [H&S 25284] <br /> orms curren <br /> one Orin ain enance ecor s c <br /> Financia Response 1 1ty H&S 25292.2 a 1 <br /> 91—)n-17 oring ecor s vai a e <br /> one orang an <br /> Response P an 23CCR 2632 2 <br /> Unaut Drize Re eases Re orae H&8 25295 <br /> Monitoring Equipment An Test 23CCR 2630 <br /> ver s i on ainer <br /> Permitted UST ReiDairs [23CCR 2661 <br /> Permitted Upgrades [23CCR 2660] <br /> Ca o is ro ec ion a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Into ritY Test [23CCR 2643 .1] <br /> Annual MIR R1 I'lle ort 23CCR 2646 <br /> Meters Calibrated [23CCR 26461'e} (4} ] <br /> Dai Stic rea in CCR 446 c 1 <br /> Gauging Stick in 1/8 inches [237CR 2646 (c} (1) (E} ] <br /> STATISTICAL INVENTORY RECONCILIATION SIR <br /> Excessive Variation Reported 23CCR 2646.1 (d) <br /> UST n egLi es ever wo ears <br /> Annual SIR Report L23CCR 2646. 1 <br /> ai y StICK Reaaing L2juCRc <br /> AUTOMATIC TANK GAUGING ATG <br /> Monthly ATG Results [3CCR 2643 {b) (1} ] <br /> Annual ATG Summar Re ort 23CCR 2712 b 2 <br /> AL UST TANK GAUGING MT <br /> Tank Gauging Weekl [23CCR 2645 (b) ] <br /> Annual Tank Integrity Test 23CCR 2645 b <br /> PIPING MONITORING <br /> Daily Suction Pi in Monitorin [23CCR A .II] <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> ravlt a in este ever ears R 4 e <br /> Monthly Line Test 23CCR 2643 c 2 <br /> Annualea etector test pp.1 1 <br /> SYSTEM STATUS: Major Violations No Violate ns <br /> COMMENTS• -Sc <br /> REH RECEIVED BY: <br /> TITLE: Q <br /> PHONE: DATE: <br /> Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />