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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 r e_LC? 1 �rj _'Program ID# <br /> Facility Address l `,. ,�/44�i'Y�.(7vt� city_-3iock4ni zip I <br /> UST: Dual Wall Single wa11�OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall i Single wall suction Pressure_�Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL RE UIREMENTS i <br /> Permit to 0 erste [H&SC 252841 <br /> Forms A & S Current H& 1125 84 c <br /> Monitorin Maintenance Records F23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 (d 1) <br /> , x <br /> A <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annus rCert. 23CCR 2630 <br /> over spill on ainer <br /> C!R 26611 11 1 <br /> �- ! <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 f <br /> i <br /> MANUAL INVENTORY RECONCILIATION (MIR) }7 <br /> H2.941 . 1 <br /> G <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followed L2JCCX 2646 (e) j <br /> STA rTSTICAL INVENTORY RZC8N�ILIATION (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1 (d) ] <br /> UST Integrity Test Every Two Years 23CCR 2646.1 <br /> Annual SIR Report [23CCR 2.646.1(j) ] <br /> Daily bticK Reaaing c <br /> AUTOMATIC TANK GAUGINQ (=Q; <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 /> 7U—Mual Tanxn egri y Test, <br /> r9nx Gaugingrote ure o owe <br /> -VTPTVQ MONITORING <br /> D Piping M ni r' [23CCR ADD-111 <br /> Pi,pincr Tightness Test 23CCR 2643-(b) c d <br /> Gravity Piping Tested Evefz 2 Years [23CCR 2643 (e) ] } <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Arl-ITU-NIe <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Remove Closed or Temporar y Closed 23CCR 2670 <br /> RENS INSPECTION DATE/TYPE: .� <br /> RECEIVES} BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE__I_of .P, <br /> PHS 231(9/87) <br />