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PUBLIC HEALTH SERVICES SAN JOA QUIN 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 <br />I I . Program ID# <br />Facility Address City al zip <br />UST: Dual Wall Single Wal;,- OVERFILL: Audible Visual _Mechanical__.-� <br />PIPING SYSTEM: Dual wall --'Single wall Suction Pressure r it <br />DOES THE LEAK DETECTION SYSTEM <br />meet 23CCR 2636(g) requirements? YES/ NO <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS Tr <br />Permit to Operate -[H&SC--25284] <br />Forms A K B Current LH&SC 2-5. <br />MgnitoringZMaintenance .,,Records r23CCR 2712(b)) <br />Einancial ResnonRibility rT.Tr.SC 2 S 2 9 9_2 (a) I <br />Monitorincl Records Available 23CCR 27121, <br />Monitoring Plan [23CCR 2632(d)(1)] <br />Re-sn-onse Plan [23CCR 2632(d)(2)1 <br />Unauthorized Releases Report;d [H&SC 25295] <br />Monitoring Equipment AnnualCert. r2_3CCR 2630(d)] <br />Over spill Container L23CCR 263SCbTT— <br />Pe=j tted IIST Repairs [23 -CLL �Ifi6ll <br />ar;4apq r,;Pi <br />Cathodic Protection r23rrp 9635ja)(2)(Ajj <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />grit- last <br />A33p3lal MTP Panart- roirCR 2946(,,)l <br />NgtQrg Calibrat�!d 2Z3jQCC&_UA6(j)1 <br />DaJ14Y Stick Rearling- [23r -CR 26AA�jr--) (i I I <br />ugling Stick in 1�8 Tntr-hpq r CR 2 6 4 6 (r) (1) (E) I <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-varia tion -ProcecLure-Yo-1-1-owe ct [23CCR_-Z6_4_G(e)T <br />Inconclusive Procedure Followed [23CCR <br />UST Integrity Test Ever v Two Years [23CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1-(j)] <br />Daily is ReaZ11n9_L23_CTR2646_ (c) (1 —T-- <br />A=Q=IC <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual G summary Repo_rt--UZ3CCR <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />A=uaI TaNK Integr=y"i-est L23UCR Zb4b <br />Tank GaUging Pro-c-M—re-Fo.E.0owe <br />d (23CCR 2b4bta)j <br />PIPING =HIT RIN2 <br />Daily auctim Pi ing MQ11itgring r23CCR Anp.Ij] <br />Piping Tightness Test ... [23CCR 2643(b),(c),(d)] <br />Gravity Piping Tested Every 2 Years [23CCR,2643(e)]— <br />Mont hly Line Test [23CCR 264.3(c)(2)j <br />LZ6k-�UX Zb.3VKL)j <br />TANX REMOVAL <br />Permit —to Close orCease Operation [H&SC 2529-8Y— <br />Removef,-clo sed or fe—mporarly-c=osed L23CCR-2-9-7-0--i <br />Anno :7 IASPECTION DATE/TYPE: - RE' - <br />AMMAR. <br />RECEIVED 13Y PHONE: <br />c1q .. Lt <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 260 (4/98) <br />-i_ <br />