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PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <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 /> Facility Name I Ic- Program ID# <br /> e� I <br /> Facility Address 7_�;7 7 Ala4— 4— city �� dzzu&,f� zip <br /> UST: Dual Wall j,/ Single Wall OVERFILL: Audible Visual Mechanical�= <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure 4e,"Gra 'ty_ <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YESNO <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to Operate [H&SC 25284] <br /> -fo—rms A& RC_urrent [H­&_S­(! 25284 jb) (c2l <br /> Monitorina/Maintenance Records 23CCR 2712 (b) l <br /> Ejagncial Rpnponsihility rH&sr �!R292_2 (all <br /> Monitorinq Records Available [23CCR 2712] <br /> Monitorip2 Plan [23CCR 2632 (d) (1) ] <br /> Reaponse Plan [21CQR 2632 (d) (211 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 (d) 1_______1_A <br /> r s Co-n-Fa—iner 35 jb) I <br /> Permitted TTRT Renajrs <br /> Rerni=ed_llpgrad�s [23rop 2AAni <br /> Cathodic Protection [23CCR 2635.ia) (2) (A) l <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> -TrLte-ar-itv <br /> CL <br /> etars Calibrated [2 CCR 2646 (j) ] <br /> Dail- -Qi-ick Readina 3641S(c) (3 ) <br /> djjg3jjW Stj ck ip 3 Za Tnehes r7-'ArrR 2649 (Q) (1 ) (EIJ— <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-variation Prote aure ".Fo-lXowe-d--T23-CCR 264Z7e_Tj_ T— <br /> L.JH=,1S= lk" ON (SIR) <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Inte rit Test Ever Two Years [23E-CR 2646. <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily is Readi—ng -123CCR-2ZA-6- <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Mm-uaI ATG-S—ummary-Repor-t-123C 2712 (bj­(2) j <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> 7=ual TANK Integricy Test L;&.3U(:X 2645 kD) j <br /> an GaugIng rOCeCUre 0 Owtzu LZ.3k-t-X ;4b4b (_CTTT <br /> ORIN2 <br /> Daily 511glign Piping Monitoring r23CCR Ann.11] <br /> Pi in Tightness Test r23CCR 2643 (b) , (c) , (d) ] <br /> Gravity Piping Tested Every 2 Years [23CCR2643 (e) ] <br /> Monthly Line Test 23CCR 264TMc2) ] <br /> Ije9R-DeT-S=r-7t=kjt- <br /> TANK REMOVAL <br /> Permit to CloseorCease Operatio­nfH­&SC 25298 <br /> Removea, .Clio­s�or Temporarly C!Tose2l [21CCR_2Z_7_0_] <br /> REHS a INSPECTION DATE/TYPE: <br /> RECEIVED BY: I PHONE: S—fd— � Ir-7-kT4 <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 260 (4/98) <br />