Laserfiche WebLink
PUBLIP HEALTH SERVICES SAN JOAQ* COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND TANK PROGRAM INSPECTION REPORT <br /> Facility Namec /nxA ( Program ID# ` ,57, . <br /> Facility Address 7�-j (;,f city _Zip !is <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical_ 9 <br /> PIPING SYSTEM: Dual wall_zsingle wall_Suction Pressuxe_e avity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO—_�7' <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 L23CCR 2712 (b <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan [23CCR 2632 (d) (1) ] <br /> Response Plan f23CCR 261? (d) (2) l <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23CCR 2630 � <br /> ver spiii container 123CCR 263 <br /> Cathodic Protection f23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 ✓ ✓ <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> meters Calibrated r23CCR 2646 i <br /> Gailaring Stick in 1/g inches r23CCR 2.646 (c) (1 ) <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation roce ure o owe e <br /> STATISTICAL TJMNTORY RRCONCTLIATTOM (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test every two yea2s 23CCR 2646. 1 <br /> Annual SIR Report [23CCR 2646 .1(j) ] <br /> ai y lcx Reacing L23 c <br /> AUTOMATIC TANK GAUGING (ATr) <br /> Monthly ATG Results 123CCR 2643 (b) (1) ] <br /> Annuai ATG Summary Report <br /> MANUAL IIST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> ua-L lanxn egri y es <br /> iank Uauging roce ure o owe <br /> Dai S i n P' in M nitoring 123CCRApp.II <br /> Piping Ticrhtness Test r23CCR 2643 b c d <br /> Gra vit Pi in Tested eve 2 ears 123CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> ua e e o es <br /> TANK REMOVAL <br /> Permit to close or cease operation H&SC 25298 <br /> Remove , Close or Temporar y ulosea L2JUUXclose 2670 <br /> REHS INSPECTION DATE/TYPE: \ D- <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_�_of <br />