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ri <br />PUBLIC HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNDERGROUND STOE TANK (UST, PROGRAM INSPECTION REPORT <br />Facility Name_�Jrwfc_ Pr <br />ram ID# <br />Facility Address city zip <br />UST: Dual Wall V, Single Wall OVERFILL: Audible Visual Mechanical <br />PIPING SYSTKK: Dual wall Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(g) requirements? YES NO <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 25284] <br />-Forms A _& B urrent H& 25 4 <br />I b2 _Jc�Lj <br />MonitoringZmaintenance Records r23CCR 2712(b)l <br />Finanri- F -.9C 2t;299.2 (a) 1 <br />Monitoring Records Available [23CCR 27121 <br />Monitoring Plan [23CCR 2632(d)(1)] <br />&ggponse Plan r23C!C!R 2622 (d) (2) ] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring Equipment -Awn-u-a-ECert. [23CC97--2-6 30� <br />Over sll Contalner_T23= 2635(w] <br />-Airs <br />Re=j tt I1PQ_rar3L=.q rgA= 9.rrni <br />Cathodic Protection r23CCR 2635(a)(2)(A)l <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />11ST Intearity-leat-12-Irr� 1­� J: — <br />Annual 9A4r'(ff)1 <br />Meters Calibrated (23CCR 2�46(j)] <br />T)=j1%, -Cf-irk Ponrlinry rgirry 0646(c) (3)1 <br />�ucrina Atick in I/R Tnchag r2lrCR 2949(n)(IUE)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex-Varia tion Procedure Follow-e-d-T73CCR 2b46(e)j <br />Inconclusive Procedure Followed [23CCR 2646.1(4)] <br />UST IntftaELty Test Every Two Years f23CCR 2646.1-(q)] <br />Annual SIR Report [23CCR 2646.1(j)] <br />Dai_i_y_­S_ticJc_­Re_a_d—in9 L,&-5UUK Z646 TCj_C1TF__ <br />r"Till .111 - -_ I NO (ATO) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annuai---ATG Summary Report____U23­CCR­2_712 (bTT2-JT <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual TanK integr�ftY--r-e-slU-L23CCR--ZE4-5(rD)I <br />-i-anx-Uaug—ing-i,rocecLure--F-oll-owe <br />-d L,&.3UL:X Z645(ZI)l <br />Qgilv Suction Pining Monitogina r23CCR App.JI] <br />Pi in Tightness Test r23CCR 2643(b),(c).(d)] <br />Gravity Piping Tested Every 2 Years [23CCR-2643(e)] <br />Monthly Line Test [23CCR_2_64_3(`c)_F2_yF_ <br />_j <br />TANK REMOVAL <br />Permit to Cse or- ase operation H&SC 252981 <br />Remove L22 sed i�r emporarly Closed 72-=R 26701 <br />REHS INSPECTION DATE/TYPE: <br />A <br />RECEIVED BY: --A i& PHONE: <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 260 (4/98) <br />