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PUBLICHEALTH SERVICES SAN JOAQU•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 /> R;Vlk �t�/moi/I'D&awry Program ID# <br /> Facility Name Al, <br /> /[ <br /> ddre city Zip <br /> DS <br /> acility As iUSTDual Wall Single WalO RFIL Audible—Visual—mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure_Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES—NO— <br /> VIOLATIONS <br /> ESNOVIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to O erate [H&SC 252841 <br /> Forms A & B Current H&S 25 84 c <br /> Monitoring/Maintenance Records r23CCR 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> MOT <br /> itori , an 23CCR 2632 (d) (1 <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> Over s i on ainer <br /> Pprmi <br /> rmi <br /> Cathodic Protection 23CCR 2635 (a) 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters i R 4 i <br /> Monthly Variations Calculated 123CCR 2646 (d) ] <br /> Ex-variation Procedure Followed L2.iCCR 2646te) j <br /> 9TATISTTgAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed 123CCR 2646.1 (d) ] <br /> UST Intearitv Test Every Two Years r23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(1) ] <br /> -n-airy­gFlick Reading 123CCH 2646 c <br /> AUTOMATIC TANK rAUQTNG (ATQ) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuaummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual a n egri y iesr <br /> aank Gauging roce ure FoiIowed <br /> D .1 i n i i M in 2 R .II <br /> Pi in Ti htness 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 /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y C ose 23CCR 670 <br /> REHS INSPECTION DATE/TYPE: -an <br /> - SNee, v /pec K7r► PHONE: <br /> Q ',f ed ate 7/ 5/97(8 ox qq�23 CCR UST Regs May 5, 1994 PAGE <br /> l(�e�-hS�.e. <br />