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PUBLIPHEALTH SERVICES SAN JOAQUI91COLTNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERPRQUk% STO GFS TANK (VST) PROGRAM INSPECTION REPORT <br /> Facility Name Q L d rogram ID# <br /> 'L <br /> Facility Address Q,(�y17� City !J/.�/y/ ��I,LZip <br /> UST: Dual WallL--,Single Wald 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_:Z7� <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS 4it� 440 <br /> Permit to O erate [H&SC 252841 <br /> Forms A & B urrent LH&SU 25284 c <br /> monitoring/maintenance Records r23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) <br /> Resnonse Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annua 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 r23CCR 2646 (i) l <br /> Monthly Variations Calculated 123CCR 2646 (d) ] <br /> Ex-variation Procedure Foiiowee) j <br /> STATISTICAL I <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 Reaaing c <br /> AUTOMATTr TANK GAUGING (ATC) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y ieSt <br /> 'lanic Gauglnqroce ure Followect <br /> PIPING MONITORING <br /> Daily Suction Pivincr Monitoring <br /> Piping Tightness Test 23CCR 2643 b c a <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 252-9-87— <br /> Removed, <br /> 5298Remove , Claqd or Temporar y Closed 23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: /D <br /> RECEIVED BY: j/ -- PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(S/M <br />