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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 <br /> / REPO <br /> RT <br /> Facility Name -ILrogram ID# � L4o <br /> Facility AddressA50 ►uf µsty q �rk �y . <br /> -Zip 9,5.70G <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall— Single wall Suction Pressure ✓Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL R8 IIIRHDIHNTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Lqurrent LH&SC 25284c <br /> Monitoring/Maintenance Records f23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Response Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> ver siDiii Container [23CCR 2635 (b) ] <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST Tntpgrity Test [91= '2943-Ir— <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Proceclure Foilowect L2.3CCR 2646 (e) j <br /> STATIS U-CAI,-INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2KI%Zl (d) ] <br /> UST Integrity Test Ever Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> ai y Stick Rea­d-1Hg='JCcRc <br /> AUTO TIC--TANK GAUGItW� (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuaiummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egrl y lest <br /> rank Gauging Proceaure Followea <br /> Da ly Suction Piping Monitoring r23CCR App.TT1 <br /> Pilping 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 /> TANK REMOVAL <br /> Permit to Close orCease Operation H&SC 25298 <br /> Remove ose or Temporar y Ciosed L23CCR 29707 <br /> REHS NSPECTION DATE/TYPE: b <br /> RECEI D BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PMS 280 (6/98) <br />