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IP AQUN COUNTY <br /> PUBLI HEALTH SERVICES SAN JOI <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-",,-- tpmld� —Program ID# <br /> Facility Address303S-o 5- ekt:r -15W. City_ zip <br /> UST: Dual Wall Single Wall <br /> _OVERFILL- Audible_Vioal—Mechanical <br /> PIPING SYSTEM: Dual wall Single wall e—Suction Pressure Gravity-- <br /> DOES THE LEAK DETECTION SYSTEM meet 23C R 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS f 7 1 <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B urrent H& C 2]5 284 jb) (c) I <br /> Monitorinq/Maintenance Records r23CCR 2712 (b) ] <br /> Finannial Rpsnonsihility rH&SC 29292-2 (a) l <br /> Monitorinq Records Available [23CCR 2712] <br /> Monitoripq Plan [23CCR 2632 (d) (1) ] <br /> Rpnnnnna Plan r21CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> -- monitoring Equipment Annual Cert. [23CCR 2630 (d) T— <br /> Over s on ainer L2-3= 111E�] <br /> RerMittpd UST RRnajrS 123CCE 26911 <br /> Permitted Upgrades [23CCIR 2r-Anl <br /> Cathodic Protection [23CCR 2635 (a2A) ] <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> UST Integrity Test <br /> Annual MIR Report [23CCR 26Ar_ (-11 <br /> Meters Caji]2Kgtggj [23QQg <br /> nailu Stick Reading [21f'rP ',>9A9tr,1 (1 ) 1 <br /> stick in 328 Inchps r23CCR 2r,16 (c) (1) (R) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Varlation Procedure Foil-o—wed---L23CCR 2646 (e) j <br /> 5,11,610116''1 1 ';:'' 111,1211,11,11:1111 1911r.11;��li�'i[!;];ALIM;�lii;;Iil��'i.'!��l!,�ll[, (191H) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Inteqritv Test Every Two Years [23CCR 2646.1 (q) ] <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> DalIy is Reading J23CCW-2646 (c) (1) ] <br /> 111,1113 Ka (ATal <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> 7=uaI A'MSummary Report L23CCR 2712 kb) (2) 1 <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> =uRI an integrIty Tgst <br /> an GauginT-rote-U-urs--Fo-I-1-owe <br /> d [23CCR 2b4b7dTT <br /> Daily Suction PiniD_q_moni_tgrij2cr r23CCR <br /> Pi in Tightness Test r23CCR 2643 (b) , (c) , (d) ] <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c) (2) ] U L <br /> MMUa­l­__L���SZ: [23CCH 253U ra) I <br /> TANK REMOVAL <br /> PermittoClose or Cease OperaE-1`ofiTH_&SC 252981 <br /> Removed, Closed or Temporarly Closed [23CCR 267'01'""' LE <br /> REHS INSPECTION DATE/TYPE: <br /> RECEIVED BY: —PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE—of— <br /> PHS 231(9/97) <br />