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0 0 <br /> 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 k t tiS P <br /> Program ID# <br /> .:2-3 J! �S <br /> Facility Address G (� j p -Q� City ��/-7h 1 Zip 9'j 3 3/2 <br /> UST: Dual Wall Sin le Wal OVSRFI L: Audible Vi ual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction_Pressure�Gravity <br /> DOES THE LEAK DETECTION SY SM meet 23CCR 2636 (8) requirements. YES A NO <br /> VIOLATI NS <br /> UST GENERAL RS UIRSMSNTS TANK # <br /> Per to Operate [H&SC 25284] <br /> Forms A & B Current H&S 25 84 c <br /> Monitorin Maintenance Records 23CCR 2712 b <br /> Monitorin Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 (d) (1) 3 <br /> Unauthorized Releases Re orted [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> over spiii Coi ainer <br /> Cathodic Protection 23CCR 2635 (a) 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated f23CCR 264E (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Procedure Foiiowed L23CUR 2b46 (e) j <br /> TATISTTCAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Ever Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> ai y is ea ing c <br /> AUTOMATTr TANK GAUGING (ATI <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL VST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual an n egri y lest <br /> an auging roce ure o owe <br /> PIPING MONITORING <br /> Daily Suction Piping Monitorinq F23CCR App, I11 <br /> yr= <br /> Piping Ticrhtness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] + <br /> Mont ly Line Test 23CCR 2643 c 2 <br /> Annual <br /> Ti�n1K <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25296 <br /> Removed, Close-T or Tem orar y C ose23CCR 2670 pip <br /> r <br /> REHS - INSPECTION DATE/TYPE: ,1--1 C� -/�'Q � �I'A / _ <br /> RECEI D BY: PHONE: <br /> 7"N/AFL- �"� bY't� <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE oL of <br /> PHS 260 (4/98) — <br />