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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 Ihlrr' Recv� . Program ID# ;A <br /> Facility Address `,36 �5, YaA-kVS' , Citys "(9' � Zip 9� <br /> UST: Dual Wall x Single Wall OVERFILL: Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall'2!�._Single wall SuctionPressure 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 252841 <br /> Forms A & B Current H&SC 25284 c <br /> r Monitoring/Maintenance Records r23CCR 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 /> ver spill on ainer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> URT Integrity Tpqt [23CCR 2(;4311 <br /> Meters rated r23CCR 264 6 (1) 1 <br /> Gauging Stick in 1 �8 Inches r23CCR 2f;46 (c) (1) (E) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Proceaure Followed L23CCR—,=(e) j <br /> STArISTICAL 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 /> Daily Stick Reading c <br /> AUT )MATIC TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Tankn egri y lest <br /> Tank auging Procecture Yoliowecl <br /> PTPTNQ MONITORING <br /> Daily Suction Piping Monitoring r2 R ADD.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 2643Tc7727T-- <br /> Annual Leak Defector lest <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 /> RECEI D 'BY:� PHONE: <br /> C;C <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGEJof �- <br /> PHS 260 (4/98) <br />