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E <br />PUBLIC HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />E <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />wkto A-&,) A016 � 19 oz� - 7-77-1m, <br />Facility Name-QQ3 1111 Program ID# <br />Facility Addresscity S.-hoc,/M� zip 05 - <br />UST: Dual Wal Single I ELL: Audible Visual Mechanical <br />1 = <br />Dual lj� <br />PIPING SYSTEM1D a wal , IX Single wall — Suction Pressure X Gra ity- <br />DOES THE LEAK DETECTION 'dYSTEM meet 23CCR 2636(8) requirements? 'YES NO <br />VIOLA Gra <br />UST GE UI S <br />It <br />Permit to Operate [H&SC 25284] <br />Forms A & B Current [fl&9C 252T4-0 <br />Monitorinq/Maintenance Records [23CCR 2712(b)] <br />-Einancial RasnnnRihility rH&SC 292929(a)] <br />Monitoring Records Available 23CCR 27121 <br />Monitoring Plan [23CCR 2632(d)(1)] Vol' <br />apspnnse Plan r23CCR 26-19(d)(2)1 <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment --A-n-n-u--al-Cert. --r2-3CCR 2630 (dTF— <br />I-] --Con ainer23-C=635 JbI j <br />PArmittPH UST Renaira [23CCE 29911 <br />Rermjjj-.�,, I gr_ades r,,,)*jrrp qggnj <br />Cathodic Protection [23CCR 2635(a)(2)(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />NCj;aj:S <br />Daj3y Stick Pa-=Ainry r,),Arrp 3646(r) (111 <br />Gawi-ncr Stirk in J�A-Tnnjaeg [23CCE 2646 (c) (I I (F1 1 <br />Monthly variations Calculated [23CCR 2646(d)] <br />Ex -V - aria tion Prote ure oIIowed [23CCR 2646(e3j <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years r23CCR 2646.1LqLL_ <br />Annual SIR Report [23CCR 2646.1(j)] <br />15aiIyStick -Rea-ding 12 CR 2646-733 (1) 3 <br />(AT01 <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual A G Summary eporE [23CCR 2,712(b) (231 <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly —[23CCR 2645(b)] <br />Annual Tanx Inre—grity j%sr: [73CCK <br />an , Gauging Proceaure Foi.LowecL L23 -CCR 2645 (Z13 T— <br />Daily SuCtign P, ing Mgajtgj.ina r2aggp. An,2.11] A <br />PiI2 in Tightness Test r23CCR 2643 (b) , (c) , (d) I <br />Gravity Piping Tested Every 2 Years [23CCR2643(e)] <br />Monthly Line Test23CCR264-37c-T7-2'n <br />MMUNI LeaX Det9ctz5r rest r:73CCR 2Ei3a (d) I <br />TANK REMOVAL <br />Permit to -close—or Cease Operation [H&SC 252981 <br />Removed, Closed or---Te-m-p-,or-­a`r-Iy osea 23CCR2670 <br />REHS J /7 - <br />INSPECTION DATE/TYPE: <br />RECEIVED BY: I PHONE: <br />Revised Date /15/97 23 CCR UST Regs <br />PHS 260 (4/98) <br />May 5, 1994 PAGE / of <br />