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1 4 <br /> PUBLI HEALTH SERVICES SAN JOAQUfICOUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE T (UST) PROGRAM INSPECTION REPORT <br /> Facility Name l Program ID# <br /> s . <br /> Facility Address / City. i <br /> UST: Dual Wall Single Wall OVERFILL: Audible Visual—Me <br /> ghanical <br /> PIPING SYSTEM: ual wall,/ Single wall Suction Pressure ,-' Grav' y <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO <br /> VIOLATIONS <br /> TANK ## <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current H& 25284 c <br /> Monitorin Maintenance Records 23CCR 2712 (b) ) <br /> Monitorincr Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> ver s ------ <br /> .ii Containejr__U23­CCR_ <br /> Permitted Upgrachas r91CCR 26601 <br /> Cathodic Protection r23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Annual MIR Report r,.),zrrP 9r.A6 (q) 3 <br /> NgtgKU i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- ar a ion roc: ure o owe e <br /> 1111 (SIR) <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 /> ai y Stick Reading c <br /> Monthly ATG Results [23CCR 2643 (b) (1) ) <br /> AnnuaI ATG summary Report <br /> MANUAL UST TANK GAUGING ( G) AP <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annua.Lan n egri y Test <br /> an augin roc: ure o owe <br /> Suction Pi Monitoring A <br /> PiRing Tightness Test r23CCR 2643 b c d <br /> -Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 23CCR 2643 c 2 <br /> u e <br /> TANK RE*GVJYL <br /> Perms t lose Cease Operation H&SC 25298 <br /> Remov se ot Temporar y C ose 23CCR 2670 <br /> 11 A <br /> REHS SPECT ION DATE/TYPE: <br /> RECEIVED BY: PHONE: 2�? <br /> Revised Date 7/1597 23 CCR UST Regs May 5, 1994 PAGE of <br /> PHS 231(9(97) <br />