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0 4P <br /> 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 //,,"' Program ID## <br /> Facility AddressTl("�" � S �c 'f'L�� Cit � G� ]� i zi C 1 <br /> UST: Dual Wall Single "W�ll OVERFILL: Audible �Visu Mechanical <br /> PIPING SYSTSI�: Dual wall{ Single wall Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 230CR 2636 (8) requirements? YES —NO� <br /> VIOLATIONS <br /> TANK 4 <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current LH&SC 25284 c I' i�`15, <br /> t"c-4 <br /> Monitorin Maintenance Records 23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 123CCR 2632 (d) (1) ] <br /> Responae Plan r2'1CCR 2E-42 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment. Annual Cert. 23CCR 2630 <br /> ver spili Container <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Gaug�na Stick in 1Z8 Inches f23CCR <br /> Monthly Variations Calculated [23CCR 2646 (4) ] <br /> Ex-Variation Procedure Foilowed L23CUR 2646 (e) j <br /> STATISTICAL INVENTORY RRMNOILIATI01; (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (4) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> Daily Stick Readin—g-7-23CCRc <br /> At7TOMATTC TANK GAUGING (AjQ) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ATU Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Kn—nuai Tankn egra y Test <br /> - Tank Cauging roce ure k'0110wecL <br /> Daily n Piping Monitoring f2 R AyD. III <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Lane Test 123CCR 2643 c 2 <br /> u or <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Remove d, Closed or Temporar y Closed 23CCR 2670 <br /> REHS C INSPECTION DATE/TYPE.- <br /> PHONE: <br /> ATE/TYPE:PHONE: <br /> Revised Date 7i/ /9 �y _ r 23 CCR UST Regs May 5, 1994 PAGE of <br /> RHS 260 (4198) w*C1' c' \�rJ 1 l- A(—' <br />