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PUBLIOHEALTE 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 _Program ID# <br /> rZ <br /> Facility Address -So I IA4- city zip !"Z 2> <br /> UST: Dual Wall Single Wall-, OVERFILL: Audible Visui hanical <br /> PIPING SYSTEM: Dual wall Single wall V Suction Pressure _Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23C �R2636 (g) requirements? YES NO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTTANK # <br /> S <br /> Permit to Operate [H&SC 25284] <br /> Forms A & B Current LH&SC2 <br /> MonitorinqZMaintenance Records [23CCR 2712 (b) ] <br /> EjUanCial RgAnnngibility [H&SC 25292-2 (a) l <br /> Monitoring Records Available [23CCR 2712] <br /> Monitorina Plan [23CCR 2632 (d) (1) ] <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR2630 (dFj--' <br /> Over Sil Container L23CCR <br /> 20miLted 11SI Rpn . 26631 <br /> Re=itteri T7nm-r=Ap= rgjrrp gggni <br /> Cathodic Protection [23CCR 2635 (a2) (A) j <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> -TIAT Tntaa-ritj TpRt L2-AcrIL-2L <br /> Annii=1 MTP Pimnn-ri- r23CCR 26461-11 <br /> Mgtgrs Qgjj]2rjjgd [22CCE 2616 (j) ] <br /> (14nnaina Stick in I/R TnchpS <br /> -Monthly Variations Calculated [23CCR 2646 (d) ] <br /> 27--7arflat-ion Proceure FoIIowea L23CCR-2Z216 (e)I <br /> h9=1811CAL IMNIQRX R3CQ=1L1AT19H (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years [23CCR 2646.1(q) l 1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> Daily Stdck-Reading L2 CUR :2b4b (C) (1 <br /> A=9=1C TAM ING (Alra) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> 7Uaiu-aI ATG Summary Report L23CCR--2-7 (10) (2) j <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> 7=uNI TNER IFitegrity Test [731CUT-2-645 (5) 1 <br /> an au ing roceUUfe F51I5w6Z1 L2-.3CCH 2645 (Z[) ]-I <br /> TTORTNQ <br /> Daily SlIction PiDina Monitgrina F23CCR ADr),III <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) l <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test [23CCR 264-3-Fc772 <br /> -AnnUa2--L�-�ak L uta) j <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation [H&SC 252981 <br /> Removed, CIosea or TemporarIy Closed [23CCR 26701-- <br /> REHS FeA_- 72Me2*k. INSPECTION DATE/TYPE: <br /> RECEIVED BY: PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of 7 <br /> PHS 231(9/97) <br />