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PUBLIL'-HEALTH SERVICES SAN JOAQUIeCOUNTY <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 Address '173o V44--7 .4-4 City God/ Zip U <br /> UST: Dual Wall Single Wall OVERFILL: Audiblsual Mechanical_ l <br /> PIPING SYSTEM: <br /> —Fl wallSingle wall Suction Pressure x Gravity <br /> DOES THE LEAK DETECTION SKSTEM meet 23CCR 2636 (g) requirements? YES )<NO <br /> VIO,k&TIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Oi2erate [H&SC 252841 <br /> Forms A & B urrent H&SC 25 4 c <br /> Monitorin Maintenance Records 23CCR 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> Mon <br /> itorin Plan [23CCR 2632 d) (1) <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annua Cert. t23CUR 2630 <br /> Over spill on ainer <br /> Cathodic Protection F23CCR 2635 (a) 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated 123CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> EX-Variation Procedure koilowea L23CUR 2b4b (6) j <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 /> ai y Stick Reading c <br /> AUTOMA <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 an n egrl y iest <br /> ianx Uauging Proceaure oiiowect <br /> 2b4bCdTT- - <br /> Daily Suction Piping Monitoring <br /> Piping Tightness 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 /> Annuai <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, C ose or Temporar y Closed 23CCR 2670 <br /> REHS ;NSPECTTIIOON DATE/TYPE: L� <br /> RECEIVED BY: "L '7 PHONE: 7 <br /> Revised Date 97� 23 CCR UST Regs May 5, 1994 PAGE 1 of <br /> PHS MI(aan <br />