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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 Jou �J�t7 Program SID""''#��,.,.yyyy���� "<43 Z,5Y5 <br /> Facility Address 15�� �pj�M /-��City zip /_15.3365 <br /> VST: Dual Wa11 Single a l OVERFILL: Audible VVi`ssdal�Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure >4, Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YESNO <br /> _VIQ ONS <br /> 7 <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to O erate [H&SC 252841 <br /> Forms A & B Current LH&SC 25284 c <br /> Monitoring/Maintenance Records f23CCR 2712 b <br /> V- <br /> Monitorin2 Records Available 123CCR 2712 <br /> Monitorin Plan 23CCR 2632 (2) (1) ] <br /> Unauthorized Releases Re orted [H&SC 252951 <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> ver s i on ainer <br /> Pprmit-t-prl ITS <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> T <br /> Meters Calibrated r23CCR 264� (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Proceoure Foiiowea L23CUR 2646 e <br /> STATISTICAL INVRNTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (2) ] <br /> UST Integrity Test Ever Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> ai y Stick R-e-aTi—ng c <br /> AUTOMATIC TANK GAUGING (ATr) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annuai ATG Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual lankn egri y lest <br /> IanK Gauging roce ure 0110wecL <br /> IPINa MONITORING <br /> Daily Suction Piping M n' r' 2 RA .II <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Grayit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c72 <br /> Annuai <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation 111&—SC 25298 <br /> Remove Closed or Temporar y C ose 23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: 4�' PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE�of_ <br /> PHS 260 (4/96) <br />