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N <br />0 <br />PUBLI HEALTH SERVICES SAN JOAQUIN COUNTY <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�J-A V. � n' 1.4_,in� h 1 0-0 r Program ID# r - <br />Facility Address 3(� ��)� 5 t �1L.,i�.L. City o c - f j i yl zip (/ _a .AC' �C <br />UST: Dual Wall_ _Single Wall OVERFILL: Audible Visual_Mechanical <br />PIPING SYSTEM: Dual wall � Single wall Suction Pressure,�Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES < NO <br />VIOLATIONS <br />TANK # <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current H&SC 25284 c <br />Monitoring/Maintenance Records r23CCR 2712 b <br />Financial Responsibility rH&SC 25292.5(a)l <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632(d)(1)] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />New USTs Monitored Continuously [23CCR 2630] yes <br />MANUAL INVENTORY RECONCILIATION (MIR) i <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] 11 1 1 1I <br />UST Integrity Test Every Two Years [23CCR 2646.1(8)] 11 1 <br />Annual SIR Report [23CCR 2646.1(j)] 11 1 <br />Monthly ATG Results [23CCR 2643(b)(1)] 11 ! 1 11 <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e <br />Monthly Line Test L23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or Cease Operation <br />Removed-, Closed or Temporar y C os <br />REHS <br />RECEIVED B e <br />Revised Date 7/15/97 <br />PHS 231 (9/97) <br />INSPECTION DATE/TYPE: <br />PHONE: <br />23 CCR UST Regs May 5, 1994 <br />PAGE of <br />