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a <br />1n <br />MM <br />PUBLIPHEALTH SERVICES SAN JOAQ UIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />�toERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Mame F)p 01') A -m 1 l' Program ID# _ <br />Facility Address 5? (% • I fam )3iyc� City aC zip <br />UST: Dual Wall Single Wall OV RFILL: Audible Vis>�1 Mechanical <br />PIPING SYSTEM: al wall >f Single wall Suction Pressure�Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? ES)_NO <br />VIOLATIONS <br />TANK # <br />UST GENERAL REQUIREMENTS ;,1 711 <br />Permit to Operate [H&SC 252841 11 1 1 1� <br />10 Financial Res <br />Monitorina Re <br />Unauthorized Releases Reported [H&SC 25295] 11 1 1 <br />AMonitoring Equipment Annual Cert. 23CCR 2630 <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Monthly Variations Calculated [23CCR 2646(d)] <br />R�_'%airI =r k nn rnr+a iirc'n n�T�TTTFt �r-w '1-1 1 <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily Stick Reading c <br />_&UTDMTIC TANK GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauqinq Weekly [23CCR 2645(b)] <br />Piping Tightness Test L23CCR 2643 b c d II <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643 c 2 <br />TANK REMOVAL <br />Permit to Close or Cease Operation H&SC 25298 <br />Removedr-�C osed or Temporarly Closed 23CCR 2670] <br />REHS.414VI-f,11 <br />RECEIVED BY <br />Revised Date 7/15/ <br />PHS 231 (9/97) <br />�CTION DATE/TYPE: 7 7 <br />PHONE : <br />23 CCR UST Regs May 5, 1994 <br />Z_�3 <br />PAGE of <br />