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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 REPORT <br /> Facility Name 10"IF Program ID# v� /,REc / <br /> Facility Address Z47-7 /na^4Vf— city Zip <br /> UST: Dual Wall Single Wall OVERFILL: Audible_VisualMechanical <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 REQUIREMENTS <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current [H&SC 25284 c <br /> Monitoring/maintenance Records 23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) <br /> Resnonse Plan r23CCR 2632 (d) (211 <br /> Unauthorized Releases Reported r[H&SC 25295] <br /> Monitoring Equipment Annua Cet. L23CCR 2630 <br /> Over spili Container <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters i r <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure FoiiowecL L2JUUR 2b46 (e) j <br /> STATISTICAL INVENTORY RECONCILIATION (RTRI <br /> Inconclusive Procedure Followed [23CCR 2646.1 ( ) ] <br /> UST Integrity Test Every Two Years 23CCR 264 .1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily Stick Reading c <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> nuasummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual lankn egri y lest <br /> -7a—nk Gauging Procedure 1,537owed <br /> PIPING MONITORING <br /> Daily i n Pi3ping Moni rin .II <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> DefectorAnnual heaK <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removea, ulosea Closeor Temporar y Closed 123CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE__Lof_ <br /> PHS 231(9/97) <br />