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t ' <br />PUBLIC HEALTH SERVICES <br />IRO E L N LTFi <br />304 E. Weber Ave., Third Floor, <br />209/468-3420 <br />Facility Name Facility ID# <br />Facility Address' � t . :2:j:eAff& gi2 City I-0 Z3 i Zip <br />Facility Phone --_`%t_ Facility Contact &= � <br />Inspection Date: ! 4q Inspection Type: <br />UST: Dual Wall ingle Wall® OVERFILL: Audible_ Visual ®Mechanical <br />UST Monitoring Alternative UST Contents p® <br />PIPING SYSTEM: Dual Wall Single Wall Suction Pressure Gravity <br />Does the leak detection system shut off the pump automatically? YES® NO® <br />VIOLATIONS <br />UST GENERAL REQUIREMENTS -- <br />Permit to Operate-__ <br />•current <br />- - - • Imo_ <br />Financial ._ •• <br />K.K-esponse Plan [23CCR 2632(d)(2)) <br />•- Upgrades •.�-- <br />.. • . fes® <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />UST Integrity Test (23CCR 2643.1] <br />meters • - - • <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />•Alazam, . I <br />Annual . Report L23CCR 2646.1(1)j <br />I--� <br />AUTOMATIC TANK GAUGING (ATG) <br />264-3-(b)(1)1-- <br />M;q,VAL UST <br />Tank Gauging Weekly Annual Tank Integrity Test [23CCR ` <br />PIPING i • <br />Daily • . <br />Line Test (23CCR ., <br />SYSTEM STATUS: Major Violations X, No Violations <br />COMMENTS: <br />REKS: RECEIVED BY: 'too) <br />Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />. . <br />a <br />0 <br />