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JOAQUIN COUNTY <br />PUBLI HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TAkjK (UST) PROGRAM INSPECTION REPORT <br />Facility Name IW(M. Program ID# . y '? <br />Facility Address y <br />1 y <br />"O f A4%4- 1 y -A--" zip <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 SYS EM meet 23CCR 2636(8) requirements. YESNO <br />j VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />IRM•M-7Z. no F-511610 "MIM F <br />Vina-inial-Vesno-csibility rV&SC 25292-2(a)l <br />Monitoring Records Available [23CCR 27121 <br />unauthorized Releases Reported [H&SC 252951 <br />Monitoring Equipment Annua_ Ce -rt-.-- 23 -CCR 2630 <br />01P.*01160WO MOO 1V*14144 <br />.fA <br />Cathodic Protection [23CCR 26 <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Fximmns 00 ROOM 013M 0*7r"iqW <br />Mg <br />ters--Ca-l-ib-r-ateA-1-2=R--2-6��... <br />MOT-MEWFARM all <br />mcr-warapowd mv*14-FGO�- I <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-Varlation Procedure Followed L23CCR <br />r*#4*=VV JEORM <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />menwow, U -'U- El <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily Stick Reading L23CCR 2646 (c)(1)j <br />Monthly ATG Results [23CCR 2643 (b) (1) <br />Annual ATG Summary eport L23UCR 2712(0)(2)j <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annuai Tanic integrity Ilest L23CCH 2b45(J0)j <br />Daily Slictign Pipin!a Monitg incr r23CCR Ax)r),II1 <br />I �VAPCJRN ii <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test [23CCR 2643 c 2)-F- <br />-Removed,,Cl?sed or Temporarly Closed [23CCR 26701- <br />REHS V. INSPECTION DATE /TYPE:77r;,.. if", MIPIMM W, <br />F Ij <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE / of <br />PHS 239 (9i97) 4 <br />