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E <br />PUBLIC HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />E <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />19 <br />Facility Name rXA, —Program ID# <br />Facility Address__— 6o /ovrxf _cit zip <br />UST: Dual Wall _Single Wa l OVERFILL: Audible Visual Mec anical <br />PIPING SYSTEM: Dual wall Single wallSuctionPressure - IZ_� ravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO_T_1� <br />VIOLATIONS <br />IL <br />UST GENERAL REOUIREMENTS It 1 M6,2 <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current H& 252 <br />MonitoringZMaintenance Records r23CCR 2712(b)] <br />Eillancial RAnnonsihility fH&SC 2S292-2(a)l <br />Monitoring Records Available 23CCR 2712) <br />monitoring Plan [23CCR 2632(d)(1)] <br />Responsa Plan r2l=R 2632(d)(2)l <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment An_n_ua-1­Cert. [_23CCR 2630(d)] <br />over 551on ainer2635ioH <br />Re nittpd TTqT Renairq r2lrrR 26611 <br />Rermitte Upgrades r9irop ,>ggnl <br />Cathodic Protection [23CCR 2635(a)(2)(A)l <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />:1 gtitv TPAt 121rrR 2f;4*1 <br />_A=i=1 MTP Depart [23CCP '.)rAiz frO I <br />Meters CalihrgjCd (22CCE 2646(i)l <br />Daily Stic Ps-Ariincy r,,>-irrP og4g(cl (1)l <br />Aiicrina Stick in 1/9 TnnhAR 3CCIR 2646 (n) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Rx -Variation Procecture Foii6_w_ed__U2_3= 2646(e)] <br />X <br />i iM8191RX _RFAQQff91L1=9N (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity TestEverTwo Years [23CCR 2646.1LSU_ <br />Annual SIR Report [23CCR 2646.1(j)] <br />DaiIy Stick-R-ea-d—ing L27= 2649 (c)(1)] <br />A 11 <br />lLur, a <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report L2_3CCR 2712_�b)(2)1 <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />ME= an integrit-y-7-e-s-t-773CCR 2645(B)] <br />Tan, Gaaging Procedure Fo-Liowea Lz-juux ;eb4b(CQ_F_ <br />MON TORTMa <br />ly S Pin-ing Monitorjj2S [2aQQR Arx),II1 <br />Piping Tightness Test r23CCR 2643b),(c),W] <br />GravitX Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643(c)(2)] <br />Anfl= LeaK DgfeCtor Tignt [23CCH 267)(C -L -M - <br />TANK REMOVAL <br />Permit to Close or Cease Operation [H&SC-252981-- <br />Removed-, Clos�670 <br />d [2E'TZ 1 <br />or TS9;porarly Close3C <br />1 77 17 1.77-- 7'77 77 <br />REHS r_1A1 Z YINSPECTION DATE/TYPE: -.,Z_Z <br />/ V <br />RECEIVED BY: -PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE�of <br />PHS 260 (4/98) —T— <br />IFLI <br />