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PUBLIC HEALTH SERVICES SAN TOAQU�C'OUNTY <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 /> l— <br /> Facility Name Program IDD# <br /> Facility Address v _ ,,/ City cs Zip SCD <br /> UST: Dual Wall in a WW10x OVS F LL: Audible Visual Mec nica <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure Grav y <br /> DOHS THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to O erate [H&SC 25284] <br /> Forms A & B Current Lki&SC 252 4 c <br /> Monitoring/Maintenance Records r23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) ] <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> Over spill on ainer <br /> Cathodic Protection r23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST TntPff�jty Test f�)ACCR 294111 <br /> Meters Calibrated f23CCR 2646ti) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procedure Followee) j <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 /> Ann <br /> ua ummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egrl y lest <br /> UanX GaugingProcedure koliowea <br /> TPTNa MONITORING <br /> Daily Suction Piving Monitoring 2 R <br /> Pilping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> P.nnuai <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Cloj?d or Temporar y ose 23CCR 2 70 <br /> 11 V <br /> REHS INSPECTION DATE/TYPE: 2—Z-S <br /> RECEIVED BYr7/15/97 <br /> PHON - O <br /> Revised Dat 23 CCR UST Reg May 5, 1994 PAGE of <br /> PHS=1("7) <br />