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PUBLIC 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 nls 4-,:2 )26 Program ID# <br /> Facility Address 5 City. zip <br /> UST: Dual Wall AA05e. - <br /> Single Wall OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall Single wallSuctionPressure Gravity_ <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 25284] <br /> Forms A--& B Curre-n-t-T—H&S C-�8 4 c) j <br /> Monitorina/Maintenance Records [23CCR 2712 (b) ] <br /> FinanCi I RPsnnnsij2jjjj;y [H&SC 25222.2 (a) l <br /> Monitoring Records Available [23CCR 27121 <br /> Monitorinq Plan [23CCR 2632 (,d) (1) ] <br /> Response Plan r21QCR 2612 (cl) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment AnnualCert.--r-23CCR 2630(d) ] <br /> Over spilliC—ontainer [23CCR -2633-(b-1 <br /> Rar_Mjtted TTST RpnAirs r2lrrP 26611 <br /> Re=itterAq T—rades [23CrR 9rgf)l <br /> Cathodic Protection r23CCR 2635 (a) (2) (A) j <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> 11ST ibtegrlty-�� <br /> -Annual. MIR Repo3:t r-?2rrP 9r.Ag feyl I <br /> Mgt&rs Calibrated r23CCR 2646 (i) l <br /> Daillz Stick ReAd-1]3a r,:rarrp �,646 (c) (3 ) ] <br /> GauaTncr Ati nk in I/A Tnghes r2l= 2,,fi4f, (r.) (1) (E) 1 <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-7aria tion Procedure Followed L23CCR 26-46(eYj­ <br /> ON (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Inte2rity TestEverTwo Years [23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1(j) ] <br /> Daily Stick -Reading L23CCR 2b4b (c) (1) ] <br /> 3ING (ATQ I <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> =muai U summary Repor`t­r2-3CCR--2 712 (b) (Zyj <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> =9I an Integrity-Te-s�-.3c(:R- ,&b4b (ID) j <br /> an GaUqlng--Pr-o-c--e-du-r-e--Yo-ITowe <br /> cI I/4-3UUX ;4b4b7l) ] <br /> 1212 ra - - <br /> )ipincr Monitoring r23CCR Ann.11] <br /> Pi in Tightness Test r23CCR 2643 (b) , (c) , (d) ] <br /> Gravity Piping Tested Every 2 Years [23CCR2643 (e)] <br /> Monthly Line Test [23CCR 2643 (c) (2) ] <br /> MMUNT Lgak D9teCF-or7ream7-j=CR-7U3UM-j <br /> TANK REMOVAL <br /> Permit to Close"or Cease Operation--[-H&S�C-252981— <br /> Remove Z1, Closed or 7-e--mp-o-r-a-r-1-y-Closed L23CCR 26701 <br /> RENS PECTION DATE/TYPE: <br /> RECEIVED BY PHONE. <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of Z-� <br /> PHS 260 (4/98) <br />