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PUBLIC HEALTH SERVICES SAN JOAQUI�il 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 dha) �jQC I �+L- sij 11, �f Program ID# A-3 g4 I <br /> Facility Address 3o -J • L�}j I SOyj W � City �S� D C" Zip <br /> UST: Dual Wall Single Wall OVERFILLQ Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wallSingle wall 'Z Suction Pressure Gravity <br /> DOES THE LEAK DETECTION TEM meet 23CCR 22636 (8) requirements. ES NO <br /> G VI0 TI S u <br /> ` F- <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to Operate [H&SC 252841 <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 r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> Over spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST Tntparity Tpqt T2-77!R-2643-11 <br /> Meters alib ated r23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> EX-Variation Procecture Followee) ] <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 (g) ] <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily Stick Reading c <br /> AUTOMATIC TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual Summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Tankn egri y lest <br /> 1anK Gauging Procedure Foliowect <br /> PIP=4 MONITORING <br /> Daily Suction Piping monitoring 2 CR Aipy. III <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual eaDetector <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closed or Temporar y Closed 23CCR 2670 <br /> REHSd2 ;( INSPECTION DATE/TYPE: <br /> RECEIVED BY: %2LZ ( + PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(9/97) <br />