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PUBLIPHEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />4 <br />JOAQUIPCOLTNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND S!7TO?"aE TANK (UST) PROGRAM INSPECTION REPORT <br />� <br />Facility NameYrogram ID#.7/0 <br />Facility Address.&Y7<-� (14 -176?1 ity zip ?'s <br />UST: Dual Wall Single Wall - OV FILL: Mechanical <br />PIPING SYSTEM: Dual wall Single wall Suction -L-Ves sure Gravity <br />DOESTHE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements. YES NO <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />Forms A & B Curre�ntH�&SC 25284ib)(c)] <br />monitoringZmaintenance Records [23CCR 2712(b)] <br />Fjpanrial Resnonsihility rH&SC 25 (a)] <br />Monitoring Records Available [23CCR 2712] <br />Monitoring Plan [23CCR 2632(d)(1)] <br />gegnonse Plan [23CCE 2fa32(d)(2)] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment Annual Cert. [23CCR 2630(aTT- <br />over s III ConEainer <br />ed UST Rp-nair-q r23CCR 26631 <br />Pe=jt't-,-A UngrnAf-cl: r9,%rrP 9s;Fni <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />- nnual MIR Report [23CCR 2646 (g� I <br />meters Calibrated [25CCE 2646(j)] <br />tick Readjuc <br />4 [23CCR .2646 (c) (3) <br />Qaj]gina Stick in 3ZE I I 19111i (1) (E) 1 1 <br />Monthly Variations Calculated [23CCR 2646(d)] <br />='-Varia tion ProceUu-r-e--Fo-TIowe -U--L23CCR 2646(e)] <br />1 i q I <br />=113111 . ..... "JI1111.11,11ill: =KCILIA119Z (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(4)] <br />UST Integrity Test Every Two Years [23CCR 2646.1(cr)] <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily is Reading L23CCR 2646 (c)(1)] <br />A=9=1C TANK GAUGING ( <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report L23CCR 2=(b)(2)j <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />An-FivaI T-a-flit-In-tegrity Test 12-3CCR''2"645 (5) <br />--Tank GaLiging Proceaure Fo=Wea [23CCR 2645(Zl)] <br />Daily quction Piping Monitgring r2 AiDD.III <br />Piping Tightness Test 23CCR 2643 b c d)j <br />Gravity Piping Tested Ever x 2 Years [23CCR 2643(e)] <br />Monthly Line Test 23CCR 2643(c)(2)] <br />-AnMUA-E-Li�arc DgEeCtor Tesr- <br />TANK REMOVAL <br />Permit to close or cease Operation [H&SC 252981 <br />lZemoved, O&Z sea oramporarly Closed [23CCR 2670J <br />REHS r IN ION DATE/TYPE. S11311K <br />D BY PHONE: /7 3 <br />RECEIVE ml, 2�7 <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGEof <br />PHS 239 (9197) U <br />