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PUBLIC Z3EALTH SERVICES SAN JOAQU4, COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE TANK L(UST) PROGRAM INSPECTION REPORT <br /> Facility Name R;Re, � A2�.E�-r`l Program ID# <br /> Facility Address rzL�3��J•�q��ni�.14�0 City��j�.� zip <br /> UST: Dual Wall Single Wall�_OV FILL: AudibleTisualMechanical <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 /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current H&SC 25284 c <br /> Monitorin Maintenance Records 23CCR 2712 b <br /> Financial Responsibility rW�qC 2c;242 2 (a) l <br /> Monitor <br /> in Records Available 23CCR 2712 <br /> Monitorin Plan [23CCR 2632 (d) (1) ] <br /> Response Plan [23CCR 2612 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> Over spiii Container <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters brated F23CCR 2 <br /> -Qauaina Stick in JZQ Inches F21('CR 2646 (r) (11 <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Rx-variation roce ure Foilowe 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 is ea 3ng c <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ummary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y es <br /> lank Gauging Procecure ollowec <br /> PIPING MQNTTQRTXQ <br /> Daily Suction Piping Monitoring 23 R A . II <br /> Fi�pincr Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR- 2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> Annual <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation LH&SC 25298 <br /> Remov C o !a or Temporar y Closed 23CCR 2670 <br /> REH INSPECTION DATE/TYPE. <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_LofL� <br /> PHS 231(9/97) <br />