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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 /> UNDER ROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name i Program ID# �i3 Zyi <br /> Facility Address , _ City Zip �. <br /> UST: Dual Wall SingleERFILL: Audible isua Nie anical , <br /> PIPING SYSTEM: Dual wall Wa Single wall Suction Pressu pe ravit <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES 'qo� <br /> VIOLTPIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current LH&SC 25284 c <br /> Monitoring/Maintenance Records 23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [23CCR 2632 (d) (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 /> meters alibrated r23CCR 2 4 i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Proceaure ieollowect L23CUR 2b4b (e) ] <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 /> ai y Stick Reading c <br /> AUTOMATIC TANK GAUGING (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 /> Annual Iankn egri y iest <br /> Tank auging Proceaure ollowecL <br /> MQNITQRINr- <br /> Daily Suction Piping Monitoring 23 CR Aipp. II1 <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 26437772TT <br /> Annuai Leaxe e o es <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Ciosed or Temporar y Closed 23CCR 2670 <br /> REHS INSPECTION DATE/TYPE: <br /> 1VV ff jt/ � r <br /> RECEIVED BY: �� �'YG(" `' PHONE: o �6 L <br /> Revised Date 7/15/9 23 CCR UST Regs May 5, 1994 PAGE_J_of_5_ <br /> PHS 231(9197) <br />