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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 STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name ey ' yamProgram ID# Z,4, Z e, X <br /> Facility Address City zip <br /> UST: Dual Wall_Sin 1 _OVERFILL: Audible_ isual_Mec nical <br /> PIPING SYSTEM: Dual wall Wa Single wall Suction—PressurelZGravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES N0_ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current [H&SC 25284 c <br /> monitoring/maintenance Records r23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Response Plan 123CCR 2632 (d) (2) ] <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> over spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated r23CCR 2646 (i) l <br /> Monthly variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followed L23CCR 2b4b (e) j <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 ing c <br /> AUTOMATIC TANK GAUGING (ATQ) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y es <br /> 'rank Uauging Proceaure Poiiowed <br /> PIPING MONITORING <br /> _pAily Suction Piping monitoring 12 R Ajpo.II1 <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Mont y Line Test 23CCR 2643 c 2 <br /> Annual EeaK Detector <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or mpo y Closed 23CCR 2670 <br /> REHS - INSPECTION DATE/TYPE: 'L - <br /> RECEI D BY� 0 PHON / !' <br /> Revised Dat 7/15/97 23 CCR UST Re s May 5, 1994 PAGE�ofy <br />