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PUBLIC HEALTH SERVICES SAN UOAQUIN 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 INSPECTIO/N REPORT <br /> Facility Name i1/fir Program ID# <br /> Facility Address / � City _; ;, ,r _ ��. zip <br /> UST: Dual Wall_ _Single W 1 OVERFILL: Audible Visual Mechanical <br /> PIPING SYSTEM: Dual wall Single wall Suction Pressure ;, Gravity <br /> DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636 (g) requirements? YES NO_� <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS oF' r <br /> Permit to Operate [H&SC 252841 <br /> Forms A & B Current H&SC 25284 c <br /> Monitoring/Maintenance Records r23CCR 2712 (b) ] <br /> Monitoring Records Available 23CCR 2712 <br /> Monitoring Plan 23CCR 2632 (d) (1) ] <br /> Resnonse Plan r23CCR 2632 (d) (2) 1 <br /> Unauthorized Releases Reported [H&SC 252951 <br /> Monitoring Equipment Annual Cert. 23CCR 2630 <br /> over siDill Co—n—Ea—lHer <br /> Cathodic Protection 23CCR 2635 a 2 A <br /> New USTs Monitored Continuously [23CCR 26301 <br /> MANUAL INVENTORY RECONCILIATION (MIR) <br /> Meters Calibr�Lted [23CCR 2646 (1) 1 <br /> Gauaina Stick in 1)8 Inches r23CCR 2946 (c) (1) (R) l <br /> Monthly Variations Calculated [23CCR 2646 (d) ] <br /> x- aria ion ProcecLure Foiiowed L23CCR 7=re7] <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 /> AUTOMATIC! TANK GAUGING (ATG) <br /> Monthly ATG Results [23CCR 2643 (b) (1) ] <br /> Annual ATU 8ummary Report <br /> MANUAL UST TANK GAUGING (MTG) <br /> Tank Gauging Weekly [23CCR 2645 (b) ] <br /> Annual Tanxn egri y lest <br /> Tanx Gauging Procedure Pollowect <br /> PIPING MQNTTQRTNQ <br /> Daily Suction Pir)inq monitoring 2 R 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 H&SC 25298 <br /> Removed, Closed or Temporar y C ose 23CCR 2670 <br /> RENS i INSPECTION DATE/TYPE: 7 t <br /> RECEIVED BY", /'/Z/ � ��� � PHONE: <br /> Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE_of.,,,,,,... <br /> PHS 260 (4/98) <br />