Laserfiche WebLink
ONA <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 TANK PROGRAM OFFICIAL INSPECTION REPORT <br />Facility Name • )Cuc <br />1 <br />Facility ID# <br />Facility Address_ <br />22Sm K2 <br />City T <br />Zip 9 c3'�G, <br />Facility Phone # <br />- 4 <br />Facility Contact <br />Inspection Date: <br />Inspection Type: '�p,_.p(-,,,L <br />UST: Dual Wall_ <br />Single Wall_ <br />OVERFILL: Audible_ <br />Visual_Mechanical_ <br />UST Monitoring Alternative <br />UST Contents <br />PIPING SYSTEM: <br />Dual Wall <br />Single Wall Suction_Pressure <br />Gravity <br />Does the leak detection <br />system <br />shut off the pump automatically? YES NO <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS ��•� » <br />Permit to Operate [H&S 252841 <br />orma A & B curren c <br />one Orin ain enance ecor s <br />Financia Response i ity JH&S 25292.2 --_. <br />one oring Recorem Avaalaj:)Ie <br />one oringan _ _ <br />Response Plan 23CCR 2632 2 <br />unautnorizea Releases Reported& 5 <br />Monitoring Equipment Annual Teat L23CCR 2630 <br />Over spill on ainer <br />Permitted UST Repairs L23CCR 2661 <br />Permitted Upgrades [23CCR 2660] <br />cathoOic Protection a <br />MANUAL INVENTORY RECONCILIATION MIR <br />UST Integrity Test [23CCR 2643.11 <br />Annual MIR Report 23CCR 2646 <br />Meters Calibrated [23CCR 2646(e)(4)] <br />Dailv Stickreading R 44 c 1 <br />Gauging Stick in 1/8 inches [23CCR 2646(c)(1)(E)] <br />STATISTICAL INVENTORY RECONCILIATION SIR <br />Excessive Variation Reported 23CCR 2646.1 d <br />UST Integrity ea every two years <br />Annus SIR Report 23CCR 2646.1 7 <br />Daily i ea ing <br />AUTOMATIC TANK GAUGING ATG <br />Monthl ATG Results 13CCR 2643(b)(1)] <br />Annus ATG Summar Report L23CCR 2712(b)(2)] <br />Tank Gal in Weekl [23CCR 2645 (b)] <br />Annus Tan Integrity Teat 23CCR 2645 <br />PIPING MONITORING <br />Daily Suction Piping Monitoring 23CCR A .II <br />Piping Tightness Test [23CCR 2643(b),(c),(d)] <br />Gravity i in Tested every 2 years e <br />Monthly Line Test L23CCR 2643 c 2 <br />Annual ea a ec or test L23Ccx App.ivkl)ka)7-,, <br />SYSTEM STATUS: Major Violations No Violations <br />COMMENTS: <br />REHS:, <br />TITLE• <br />Revised Date 1/29/97 <br />RECEIVED <br />PHONE: <br />23 CCR UST Regs May 5, 1994 <br />