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0 <br /> PUBLIC HEALTH SERVICES SAN JOAUIN COUNTY <br /> ENVIRONMENTALLTH 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 Program ID# r-a / a Z <br /> Facility Address D -City qzip <br /> UST: Dual Wall Single Wall pr OVER LL./Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall V, Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br /> TANK <br /> VIOLATIONS <br /> # <br /> UST GENERAL. REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current LH&SC 25284 c <br /> Monitori ZMaintenance Records r23CCR 2712 b <br /> Responsibilitv-EUSC 25222.2 (a) ] <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 /> ver s i on alner 26 <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrated LZaCC&_2646 (i) 1 <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion Procedure o owe2646 (ejj <br /> LIAT ON (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years L23CCR 2646.1 <br /> Annual SIR Report 123CCR 2646.1 (j) ] <br /> ai y SE!ck ReadiH-g--[23rCR-264c <br /> Monthly ATG Results [23CCR 2643 (b) (1)] <br /> Annual summary epor <br /> MANUAL UST TANK GAUGING ( G) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> ==uaI Tanrc. n egri y es <br /> an augin roce ure o owe <br /> Monitggina r23CCRA <br /> Pi2Lncr 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 <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, Closedor Temporar y Z!Iose2l r23CCR 26701 <br /> REHS INSPECTION DATE/TYPE: / Z �jq 4.64e�,. . <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_Lof <br /> PHS 260 (4/98) <br />