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PUBLIC HEALTH SERVICES SAN JOQIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE T (UST) PROGRAM INSPECTION REPORT <br /> Facility Name P. Lm. Program ID# <br /> Facility AddressCity Zip <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual_Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure—Gravity— <br /> DOES <br /> ressureGravityDOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TAM # <br /> Permit to O erate [H&SC 25284] <br /> Forms A & B Current LH&SC 25 84 c <br /> Monitorin Maintenance Records 23CCR 2712 (b) ] <br /> Financial Rennnngibility rR&SC 2S292-2 (a) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitorin Plan 23CCR 2632 (d) (1) ] <br /> Response Plan r23CCR 2612 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annua Cert. 23CCR 2630 <br /> ver s iII C-0-n'f—a1ner-T2-S=2635(b)-j <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> epart [23CCR 26461a) ] - <br /> Meters Calibrated 3CCR 2646 (i) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion roce ure FolIowed L23CCR 2646jeTT <br /> 11111 Z' <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Inteqritv Test Every Two Years r23CCR 264L-ilall— <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily is ea i.ng c <br /> 2111111 <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Mn-nuaIummary epor <br /> MANUAL UST TANK GAUGING ( G) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annua.Lan n egri y es <br /> TanK Gauqlngrace ure*Followea <br /> M <br /> Pi2incr Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR• 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> T REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closedor Temporar y Closed 23 CR 26701 <br /> REHS INSPECTION DATE/TYPE: Ir- <br /> v <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE 1 of <br /> PHS 260 (4/98) <br />