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PUBLIC HEALTH SERVICES SAN JOAQUINCOUNTY <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 /> c7 <br /> Facility Name���22)S 'F"� pp + ; Program ICD# vZ 3 1 O, d d <br /> Facility Address,3A3 - A]. KIPS City �'l'6GK+Ovl zip <br /> VST: 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 O ;rate (H&SC 25284] <br /> Forms A & B Current H&SC 25 4 c <br /> Monitorin Maintenance Records 123CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (1) <br /> Rennnnse Plan r2lC'CR 2632 (d) (2) ] <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annua Cert. L23ULX 2630 <br /> over splil Container <br /> Cathodic Protection r23CCR 2635 (a) 2 A v Ileot <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters ibrated r23CCR 2646 (1) 1 <br /> ('aucrina Stick in I /R Inches [23CCR 9,946 (c) (I� fF) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> EX-Variation Procedure o owe e <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646 .1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> ai y Stick Reading c <br /> AUTOMATIC TANK GAUGING (ATQ) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> nuasummary Report <br /> MANUAL VST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annuai lankn egri y iest <br /> iank Uauging Procecture FoiioweCi <br /> Daily Suction Piping Monitoring f2 CR Ano. II1 <br /> Piping Tightness Test r23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years [23CCR 2643 (e) ] <br /> Month y Line Test 23CCR 2643 c 2 <br /> Annual ea <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation fH&SC 25298 <br /> Removed, Closed or Temporar y C ose 23CCR 2670 (J <br /> REHS 'G INSPECTION DATE/TYPE: a c` <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE j of <br /> PHS 231(9/97) <br />