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' '"?F4,�",°�,'�ii:"' - �-•.� :.:a--•-ar-----r.---.__.-,.�+.yr.mr-^ •-�ow�:r�T: ��.�+� ¢.+�� r��'�S�' f �'�'_yE,..., T.;,�... .-.r.. _ �cr:.,.r .. - <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 INSPECTION REPORT <br /> Facility Name 7,// Program ID# <br /> Facility Address City <br /> Y p <br /> 6 !. r / Zi <br /> UST: Dual Wall ingle Wa OVERFILL: Audible Visual_Mechanical_J <br /> PIPING SYSTEM: Dual wallingle 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 f23CCR 2712 b <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Response-Plan-A23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 25295] <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> ver spill on ainer [23CCR 2635 (b) ] <br /> Permitted UST Rppairg r2l= 26611 <br /> Cathodic Protection 123CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> Ex-Variation Procedure Followed L23CCR 2646 (e) <br /> STATISTICAL INVENTORY RECONCILIATION (SIR) t <br /> Inconclusive Procedure Followed [23CCR 2646.1(d) ] <br /> UST Integrity Test Every Two Years r23CCR 2646.1 <br /> Annual SIR Report [23CCR 2646.1 (j) ] <br /> Daily Stick Reading c <br /> AUTOMATIC ZMZ GAUGING (ATO) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> nua ummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Tankn egri y Test <br /> an auging Procedure kollowea <br /> PING MONITORING <br /> Daily Suction Piping Monitorincr r23CCR ADD.III <br /> Piping Tightness Test 23CCR 2643 b c d <br /> Gravity Piping Tested Every 2 Years [23CCR 2643 (e) ] <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual <br /> TANK REMOVAL <br /> Permit to Close or Cease Operation rH&SC 25298 <br /> 77e-moved, Closed or Temporar y Closed 23CCR 2670 <br /> REHS � INSPECTION DATE/TYPE: Z - <br /> RECEIVED BY: µ rd . PHONE <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE <br /> �of ✓ <br /> PHS 260 (4/98) 1 <br />