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PUBLIHEALTH 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 /> c1 <br /> Facility Name r40,AC I O Program ID# L51 7!/ <br /> Facility Address/?'io fi_ vsc-�—city 56 G�V-0 t zip vAOS <br /> UST: Dual Wa11_)<.Single Wall OVERFILL: Audible—Visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure�Gravity <br /> DOES THE LEAK DETECTION SEM meet 23CCR 2636 (g) requirements? YES—NO— <br /> VIOLATIONS <br /> ESNOVIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current H&SC 25 4 c <br /> Monitoring/Maintenance Records r23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) <br /> Resnnnne Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> over svili container L23cux 2635 (b) ] <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated 2 <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure Foiiowee) j <br /> _MTISTICAL INVENTORY RECONCILIATION ISTRI 11 <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 Stick Reacling c <br /> AUT ANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ATG summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual lanicn egrl y iest <br /> lank Gauging Proceaure Foilowea <br /> _2TPTNG MONITORING <br /> Daily i n Piping Monitoring r2 R A .II <br /> Piping Tightness Test 123CCR 2643 b c d <br /> Gravit Pi in Teated Ever 2 Years [23CCR 2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> Annual <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2 70 <br /> REHS INSPECTION DATE/TYPE: 7_ <br /> RECEIVED BY: PHONE: a <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of -� <br /> PHS 01 W91) <br />