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ti <br />PUBLIPHEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />JOAQUI COUNTY <br />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 V � /�p—j4 ('�Program ID# �3/ 71 <br />Facility Address City zip <br />UST: Dual Wall Single Wa OVERFILL: Audible Visual Me anical <br />PIPING SYSTEM: ual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />TS1kry u <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current LH&SC 25284 c <br />Monitorin Maintenance Records f23CCR 2712 b <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632 (d) (1) ] <br />Response Plan r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. L23CCR 2630 <br />Over spill on ainer <br />Pprmittpd UST Repairs r2l= 29911 <br />Permitted TIparadpR r2lrrR 299Q1 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />UST Integrity Test 12ACCR 2r477-1-7— <br />Meters a i ra [23CCR 264 6(1)1 <br />Gauaina Stick in 1�8 Inches [23CCR 2646(c)(1)(R)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />x- aria ion Procedure Followed L23CCR 2646(e)j <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily Stick Reading c <br />OMATIC TANK GAUGING (ATQ) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual Aau bummary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual Tankn egri y Iest <br />lanx GaugIng Proceaure PoiloweCt <br />Daily Suction Piping Monitoring r2 CR ADD.II1 <br />Piping Tightness Test 23CCR 2643 b c d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643 c 2 <br />Annual eax Defector Iest <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Remove , 4!tse= Tempora C ose 23CCR 2670 <br />REHS INSPECTION DATE/TYPE: <br />IF <br />RECEI ED B1Q g„ PHONE_ �% 1/],] <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_�Lof-3 <br />PHS 231 (9/97) <br />