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PUBLI�HEALTH SERVICES SAN JOAQUI•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 kaAJan,. I Program ID# _i ZA �(_?_ �l,, <br /> Facility Address 474-7 /�/ �� city So�x.�.d�- zip g wu <br /> UST: Dual Wall lin le Wall OVERFILL: Audible Visual Me anical <br /> PIPING SYSTEM: Dual w�1/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 O erste [H&SC 252841 <br /> Forms A & B Current LH&SC 25284 c <br /> Monitoring/Maintenance Records 23CCR 2712 b <br /> Monitoring Records Available f23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) ) <br /> _i1csnonse Plan F23CCR 2632 (d) (9.) l <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annus Cert. L23CCR 2630 <br /> Over splii Container [23CCR 797MJD) j <br /> PPrMjt't'.A TTQT Rpnairq [2ArCIR 9.6611 iL <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTS Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST Integrity Test lnl= 7941 11 <br /> Meters ibrated F23CCR 4 i <br /> Gauaina Stick in 1 /8 Inches [21rrR 2646 (r) (I ) (R) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followed L2JCCR 2646Fe-TI <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) 61 <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report 123CCR 2646.1 (j) ] <br /> Daily stick Reading c <br /> AUTOMATIC TANK GAUGING (ATO) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuaiummary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y lest <br /> rank UaugingProcedure kollowea. <br /> Daily Suction in Monitoring r23CCR App.III <br /> Piping Tightness Test F23CCR 2643 b c d <br /> Grayit Pi in Tested Ever 2 Years 123CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> Annuai LeaK Betector <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Remove Closed or Temporar y Closed CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED SYS, PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE�of (/ <br /> PHS 231(9197( <br />