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d <br /> 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 fldalldt C;a1 � Program ID# � <br /> Facility Address ;Z6O5 j , ? v'/'G[`'"JtiCity S'�'p � �-(�'yy Zip � `J' Ll Lj <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 252841 <br /> Forms A & B Current LH &SC 25284 o c <br /> Monitorin Maintenance Records f23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan [ 23CCR 2632 ( d ) ( 1 ) ] <br /> Unauthorized Releases Re orted [H&SC 25295 ] <br /> Monitoring Equipment Annua Cert . 23CCR 2630 <br /> ver spill on ainer <br /> Cathodic Protection 123CCR 2635 ( a ) 2 A <br /> New USTs Monitored Continuously [ 23CCR 2630 ] <br /> MANUAL INVENTORY RECONCILIATION (MIR) — S <br /> r <br /> Meters r 4 <br /> Gauaina stick in 1 / 9 7nches r <br /> Monthly Variations Calculated [ 23CCR 2646 ( d ) ] <br /> Ex - Variation Liroceaure roilowee ) j <br /> qTATTATTrATj 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 ReacLing c <br /> AUTOMATIC TANK GAUGING (ATG) <br /> Monthly ATG Results [ 23CCR 2643 ( b ) ( 1 ) ] <br /> Annuai NIG Summary Report <br /> j MANUAL UST TANK GAUGING (MTG ) <br /> Tank Gauging Weekly [ 23CCR 2645 ( b ) ] <br /> Annuai ranxn egri y rest <br /> i <br /> Tank Gauging Yroceaure Wollowea <br /> DailyPTPTNa MONITORING <br /> Piping Monitorincr F23CCR A . 111 <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravit Pi in Tested Ever 2 Years <br /> ' 23CCR 2643 ( e ) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> Annuai LeaK Uetector <br /> i <br /> i <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed , Closed or Temporar y Closed 23CCR 2670 I <br /> REHS ( INSPECTION DATE / TYPE : <br /> RECEIVED BY : PHONE : <br /> Revised Date 7 / 15 / 97 23 CCR UST Regs May S , 1994 PAGE of <br /> PHS260 (4198) <br />