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0 0 <br />PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br />ENVIRONMENTAL• <br />C04 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />209/468-3420 <br />Facility Name IL Facility ID# <br />Facility Address A lgf- s F,, L a . lye-. City �ATQZ,,n Zip <br />Facility Phone Facility Contact t�q; <br />Inspection Date: p Inspection Type: j <br />UST: Dual Wall- S ngle Wall OVERFILL: Audible_ Visual_ Mechanical_ <br />UST Monitoring Alternative UST Contents <br />PIPING SYSTEM: Dual Wall Single Wall -- <br />Suction Pressure Gravity <br />p <br />Does the leak detection system shut off the p automatically? YES_ NO® <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate (H&S 252841 <br />�_- <br />' & B current <br />_ Responsibility <br />._,,•r••��- <br />Response i�■�� <br />- - <br />PermittedUpgrades <br />..• . - <br />MANUAL INVENTORY RECONCILIATIONUST Integrity Test (23CCR 2643.11 <br />Meters Calibrated (23CCR 2646(e)(4)] <br />STATISTICAL INVENTORY RECONCILIATION <br />• _Excessive Variation Reported [23CCR 2646.1(d)] <br />Annual SIR Report L23CCR 2646.1(j)] <br />Daily StIcK • • • '--- <br />AUTOMATIC TANK GAUGING <br />Monthly • 1---I, <br />Tank Gauging Weekly ' b.. <br />Annual Tank Integrity Test [23CCR 2645(b)] <br />PIPING MONITORING <br />Daily •n Piping Monitoring App.III'-- <br />Monthly Line Test L23CCR 2643(c)(2)] <br />SYSTEM STATUS: Major Violations No Violations <br />M 4.r•41MLINN VIF <br />S • . <br />Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />