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I <br /> 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 INSPPECTIO/N REPORT <br /> Facility Name / 14 Program ID# y� ` 7- j <br /> Facility Address 3� �t�" �- City zip ' �?.•L� <br /> VST: Dual Wall_ Single Wa,X1 OVER ILL: Audible Visual_Mec anical <br /> PIPING SYSTEM: Dual wall #1 Single wall Suction Pressure Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (8) requirements? YES NO-- <br /> VIOLATIONS <br /> UST GENERAL REQUIREMENTS TANK # <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current H&SC 25284 c <br /> monitoring/maintenance Records 23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Response Plan r23(7CR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> ver spill on ainer L23CCR 2635 (b) ] <br /> Permitted UST Repairs r9'lrrR 26611 <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 2630] <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibrited [23CCR 2646 (1) 1 <br /> Gauging Stick in 1�8 Inches r23CCR 2646 (c) (1) (R) i <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followed [23CCR 2b4b (e) j <br /> STATISTICAL INVENTORY RECONCILIATION (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 /> Daily stick Reading c <br /> AUT )MATIC TAM GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual AXU summary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annuai lanxn egri y rest <br /> lanx Gauging ProceZ311re Fol.LoweCl <br /> TORTNG <br /> Daily Suction Piping Monitoring r2 .II <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test 123CCR 2643777277— <br /> Annual LeaX D <br /> 643 c 2u e <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation H&SC 25298 <br /> Removed, ciosea or Tem–p–o–r-5717 Closed 23CCR 2670 <br /> REHS IAI INSPECTION DATE/TYPE: <br /> RECEIVED BY. PHONE: <br /> Revised Da e 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_o&—Z> <br /> PHS 260 (4/98) <br />