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PUBLi(T 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 S C-, 6 <br /> RC Kr�' rogram ID# U <br /> Facility Address � ,70 � E. ����, WA ity st'oc/R'7L� Zip C?5-A L0-5- <br /> UST: Dual Wall Single Wall OVERFILL-'-Audible Visual_Mechanical <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 25284] <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 /> Response Plan F23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> Over spiii Container <br /> PPrmjt-tPcj UST Repairs [2';("( R 2tS�;jj <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Annual MIR Report F? ;CrP �)r,4r, (q) l <br /> Meters Calibrated F23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Proceaure oiiowect L2-3UC7—Z;77e) j <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646 .1 (d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646 .1 (q) <br /> Annual SIR Report [23CCR 2646 .1 (j ) ] <br /> Daily SticK ReacLing c <br /> -AUZQMAZLQ_jAML_QAUGTNG (ATG) <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 /> Annuai lankn egri y iest <br /> Tank auging roce ure oiiowecL <br /> Daily Suction Piping Monitoring 23CCR Aipip. IV <br /> PipincT Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test t23CCR 2643 c 2 <br /> Annual eaX Detector Iest <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: S.r"74,`f� <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_L_of <br /> PHS 231 (9/97) <br />