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0 <br /> "e 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 Vii , Program ID# <br /> Facility Address � /1 �; City , zip <br /> UST: Dual Wa11 -,�, Single Wall OVERFILL: Audible, Visual ..,.,Mechanical <br /> _ <br /> PIPING SYSTEM: Dual wall , Single wall Suction_Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements Y S .. NO <br /> VIOLATIONS <br /> TALAR # � <br /> UST GENERAL R8 UIRNTS <br /> Permit to O erste [H&SC 252841 <br /> orms A & urrent Lki& k25 4c <br /> Monitorin R Maintenance cords r23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Response Plan [23CCR 2632 (d) (2) ] <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annus Cert. 23CCR 2630 <br /> ver spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated F23CCR 2646 (i) l <br /> railaina Stick in 1 /A Tnrhpq 191= 9r46 (c) (I ) (R) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure Followed L2.3CUR Zb4b (e) ] <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 /> Daily Stick Reading c <br /> AUTOMATIC TANK GAUGING (ATC.') <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai AEG summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y Test <br /> uanx Uauging Procedure FoIlowed <br /> PIPING MONITORING <br /> Daily suction Piping monitoring r23CCR Avu.III <br /> Piping Tightness Test 123CCR 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 <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Ciosed or Temporar y 'Cosed L23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS260 (4/98) _ <br />