Laserfiche WebLink
PUBLIPEALTH SERVICES SAN JOAQU 0 UNT <br />I H IN COY <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 />Pacility Name (11almol, SY 1-900YO, Program ID#. - 171,01`6 ';�_T 14ig <br />Facility Address city (,C�Av" -- zip <br />UST: Dual Wall Single WallV-OVRRFILL: Audible Visual Mechanical <br />PIPING SYSTEM: Dual wall ST_ngle wall 5e' Suction Pressure Gravity <br />DOESTHE LEAK DETECTION SYSTM meet 23dER2636(g) requirements? YES NO <br />VIOLATIONS <br />UST GENERAL ---REQUIREMENTS Fry <br />Permit to 012erate [H&SC 25284]lid <br />Monitoring Records Available r23CCR 27121 <br />Unauthorized Releases Reported [H&SC 252951 <br />• <br />NMER��-qu�ipmen�tAnn�ual C�ert. J23CCR 2630(d)]__I���� <br />9 we MOO <br />po- rm FWTO <br />Zro = a rOT-T W_ ro <br />Cathodic Protection_[23CCR 2635(a)(2)(A)l <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />11 ill 1111�� jjl� <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-Tarlation Procedure FollowedL23CCR 2646 <br />_EZ;,TISTIC7:L l-,UENTOP,:F,�-,TCILI.*TION—USIR)--- <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />sommma ! 0: r, <br />Annual SIR Report [23CCR 2646.1(j)] <br />-Da-l-I—y-Stick Reading-123CCR-_2646 (c) (1) j <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report L23CCR 2712(b)(2)1 <br />MANUAL UST TANK GAUGING (MTG) <br />F <br />Tank Gauging Weekly23TECR 2645(b)] <br />nuai 'fanx integrity 'rest 2645 (0) j <br />Daily Suction Piping monitoring r23CCR W FAI I K WE <br />Piping Tightness Test [23CCR 2643(b),(c),(d)] <br />• <br />Monthly Line Test (23CCR 2643(c)(2)] <br />TANK REMOVAL <br />C d________T_e_m__porarly Closed <br />ZVA1110- ==Mp <br />or L23CCR 2670) <br />6� <br />'dzj��e ZT, <br />RECEIVED BY: PHONE: <br />Revised Date 7/15/97 <br />PHS 231 (9/97) <br />23 CCR UST Regs May 5, 1994 PAGE of <br />