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PUBHEALTH SERVICES SAN JOAQ& COUNTY <br />*ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name " LAh4t43 54pary-4— Program ID# <br />Facility Address 2,1= -E:ej City --ASkAC&—+,fA1 Zip <br />UST: Dual Wall -Single Wall* OVERFILL: Kudible_�Visual —Mechanical <br />PIPING SYSTEM:-kuall wall A— Single wall Suction Pressure Gravity_ <br />DOES THE LEAK DETECTION S STWmeet 23CCR 2636(g) requirements. YES NO <br />VIOLATIONS <br />UST GENERAL RE UI ENT S <br />Permit to aerate [H&SC 25284] <br />Forms A & B Current LH&SC 2.5284(b)(c)j <br />Monitoring/Maintenance Records r23CCR 2712(b)] <br />Financial ResPQnsJbj1Jt3z rjj&SC 25292.2(a)l <br />Monitoring Records Available [23CCR 2712] <br />MonitoriM Plan [23CCR 2632(d)(1)] <br />BesnQnse 21an r23CCE 2632(d)(2)] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert.23CCR2630(aTT- <br />over spill Container [23CCR 2635(b)] <br />2e=itted IIST Remairs 123CCE 29611 <br />Rp-rmjtted lj�pjZ-radaq r7-ACrR 2grol <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />T79T Tntparitv Tpst 121PC9 <br />Annual MIR Repart I'LACCR 9646(g)] <br />Metegs Calibrit2d [23CCE 264g(ill <br />nailu Stick Reading [71CCR 26,46(c) (1)] <br />Gauging Stick j12 1�8 InClaag r23CCE 2E46 (a) f 1) (E) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-Varia tion Proceffu-re Followed L23CCR 2646(e)j <br />-22AZLjTZ9AL-ZK=ORX RZCQ=jLjAjj9E (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years E23CCR 2646.1�cr)j <br />Annual SIR Report [23CCR 2646.1(j)] <br />13aiiy is Reading L27MR 2646 (c)(1)1 <br />M=IC TAM GAMING (AT01 <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual. AT7. Summary Report L23CCR 2712(b)(2)l <br />MANUAL UST TANK GAUGING (NTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual TaFM Integrity r9st L23CUR 254t)(D)l <br />Tank Gayging Pfoceaure Pollowed L23=77STS= <br />PIRING <br />12aily Suctign Riging Monitgring [23CCR &M.II1 <br />Pi in Tightness Test [23CCR 2643(b),(c),(d)] <br />Gravity Pi in Tested Eve EX 2 Years [23CCR-2643(e)] <br />Monthly Line Test L23CCR 2643(c)(2)T— <br />AnnuXI Lear, Detector 'rest LZJCUR 2b3uka)j <br />TANK REMOVAL <br />Permit to close or cease Operation [H&SC 252981 <br />-Remove7, Closeor -TA-Warly Close2l L23C 26701 <br />REH / k -k W A k kL--�/-WvgpvrTION DATE/TYPE: lclmk- � <br />...& IV11-- N ppEop - - yw--d-� <br />RECEIVED BY: .071 CW- PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE__[_of_.2__ <br />PHS 231 (9/97) <br />0 <br />