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oa <br /> ' Cr <br /> PUBLIHEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , 20,r 468 3420 Stockton, CA 95202 <br /> ( <br /> UNDERGROUND STORAGE TANK (VST) PROGRAM INSPECTION REPORT <br /> Facility Name "IF Program ID# Z�J /� <br /> Facility Address Z& - 7/IS City .Zip <br /> cal <br /> UST: Dual Wall_tingle Wall OVERFILL: Audible_Visual_MecGravity <br /> PIPING SYSTEM: Dual wall—Single wall Suction_Pressure_Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? LATZONSO <br /> TANK # <br /> UST GENERAL RE UIREMENTS <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current H&S 25284 c <br /> Monitorin Maintenance Records 23CCR 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan [23CCR 2632 (d) (1) <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> ver s 1 on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> i a d 2 R 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ]e <br /> x- aria ion roce ure o <br /> owe <br /> Inconclusive Procedure Followed [23CCR 2646.1 ( ) l <br /> ST <br /> Inte rit Test Ever Two Years 23CCR 264 .1 <br /> Annual SIR Report (23CCR 2646 .1 (jcl <br /> Daily is ea ing <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> –Annuaummary epor <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> ua an n egri y es <br /> an au ing roce ure o owe <br /> Daily t' n pilpincr Monitorin 3 <br /> I <br /> Pi in Ticfhtness Test J23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthiy Line Test Lz3CCR 2643 c 2 <br /> u <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, C ose or Temporar y C ose 23CCR 2 70 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 <br /> 23 CCR UST Regs May 5, 1994 PAGE__Lof_ <br /> PHS 231(9AM <br />