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N <br />10 PUBLI HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />so <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />. I <br />Facility Name to., Program ID# A3 1 -7 65 <br />Facility Address ,33w) City zip9, <br />3:2 05 <br />UST: Dual WallSingle Wall OVERFILL: Audible -Visual Mechanical <br />PIPING SYSTEM: Dual wall X Single wall Suction Pressure <br />- Gravity <br />DOES THE LEAK DETECTION YY TV EM meet 23CCR 2636(g) requirements. NO <br />VIOLAT ONS <br />UST GENERAL REQUIREMENTS <br />Permit to 02erate [H&SC 25284] Z7 <br />Forms A & B Current LH&SC 25284c2j <br />MonitoringZMaintenance Records [23CCR 2712(b)l <br />Financial ReRnnnRihilitv F14&gr 2q292,2(a)] <br />Monitoring Records Available [23CCR 2712] <br />Monitoring Plan [23CCR 2632(d)(1)) <br />Resnonse Plan r23CCR 2612(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. [23CCR 2630(dyr— <br />Over sii on <br />Pi­rmi t-t-act-TTST -Rp-nairn - r2lrrR 29911 <br />Re=jt-t-p� TTnrT-r=Aj-Q [23C <br />Cathodic Protection [23CCR 2635 a 2 AI <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />JIST Intpgrity TeB±-L23r.CE--; <br />Ann]]a] MTP PaT-%n7j- <br />Mg;ers QAjjhKajgd r239QR-Zk-4-Cjjjj_ <br />Daillz Stick Readj— [23CCR 26491�1(111 <br />r�ailaa= stick in 1�8 Tnchea [23CCE 2fi4r-(n)(j)(E)] <br />Monthly variations Calculated [23CCR 2646(d)] <br />Ex-Varra -trion Prb-ceure-Fo-i I owed [2:;CCR 264ZTe-J-1 <br />1:1101 1 112,LQ2x=1Ax1Qx (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(4)] <br />UST Integrity Test Every Two Years [23CCR 2646.1(cf)] <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daliy SEI-cR"'ReaEling [23C`CR-2Z4-E-(c)(1)j <br />GAUGING (ATQ) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging weekly [23CCR 2645(b)] <br />-Annua­1­I'anR Integfify 'rest LZJUUX :Zb4F)(r))1 <br />an GaUging Pf5ceaure FoIIoweQ L2-iuux 2645(U)"j-' <br />Daily 5ugtign Piping Monitoring r2 A2p.IIL <br />Piping Tightness Test r23CCR 2643(b),(c),(d)] <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />r— <br />Monthly Line Test 23CCR 2643(c)(2)] <br />A=ua-L aK Detect 23CCR 2630(U71 <br />TANK REMOVAL <br />Permit to close or cease Operation [H&SC 252981 <br />Removed, Closed or TemporarIy -CIosed [23CCR 2670] <br />DATE/TYPE: <br />WNW <br />PHONE: <br />D 'iW <br />RECEIVEBY: <br />Revised Date,,,`F� <br />/15/97 <br />23 CCR UST Regs May 5, 1994 PAGE—of <br />PHS 239 (9/97) <br />