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• 0 <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 />TANK PROGRAM OFFICIAL INSPECTION REPORT <br />Facility Name CtwfGe <br />:2M . <br />Facility ID# <br />Facility Address <br />17f- _ <br />�7 <br />_ v F 111 City <br />D Z O <br />Facility Phone # <br />- 7 <br />Facility Contact / <br />."Zi.�p�. <br />=/c.L <br />Inspection Date: <br />6 '0 -1 <br />Inspection Type: <br />Ti <br />UST: Dual Wall7J <br />Single Wall_ <br />OVERFILL: AudibleVion <br />'sual Mechanical_ <br />UST Monitoring Alternative <br />UST Content <br />PIPING SYSTEM: Dual Wall <br />Single Wall SuctPressure Gravity <br />Does the leak d <br />ection system <br />shut off the pump aucally? <br />YES_NO_ <br />VIOLATIONS <br />ARA f _ <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&S 252841 <br />Forms A & B current c <br />Monitoring/Maintenance Records <br />-Financial Responsibility [H&S 25292.2(a)] <br />monitoring Records Available L;43CUR :a7121 <br />Monitoring Plan L23CCR 2632(d) (1)J <br />Response Plan L23CCR 2632(d)(2)] <br />Unauthorized Releases RepoRed [H&S 25295 <br />Monitoring Equipment Annual Test L23CCR 2630 <br />ver spill on ainer <br />Permitted UST Repairs 23CCR 2661 <br />Permitted Upgrades [23CCR 26601 <br />Cathodic ro ec ion a <br />MANUAL INVENTORY RECONCILIATION MIR <br />UST Integrity Test [23CCR 2643.11 <br />Annual MIR Report 23CCR 2646 <br />Meters Calibrated [23CCR 2646(e)(4)] <br />Daily Stickreading CR 44 c 1 <br />Gauging Stick in 1/8 inches [23CCR 2646(c)(1)(E)] <br />STATISTICAL INVENTORY RECONCILIATION SIR <br />Excessive Variation Reported 23CCR 2646.1(d) <br />UST integrity es every two years <br />;&64b.17gT7— <br />Annual SIR Report L23CCR 2646.1 <br />Daily SEIM ReaclIng c <br />AUTOMATIC TANK GAUGING ATG <br />Monthly ATG Results [3CCR 2643(b)(1)] <br />Annual ATG Summary Report L23CCR 2712 b 2 <br />MANUAL UST TANK GAUGING MT <br />Tank Gauging Weekl [23CCR 2645(b)] <br />Annual Tank Integrity Test L23CCR 2645 <br />PIPING MONITORING <br />Daily Suction Piping Monitoring [23CCR A .II] <br />Piping Tightness Test [23CCR 2643(b),(c),(d)] <br />Gravity Piping este every 2 years e <br />Monthly Line Test L23CCR 2643 c 2 <br />Annual ea a ec or test L23CCR App.lV(1)(d)j <br />SYSTEM STATUS: Major Violations No Violations <br />COMMENTS: 5z5CG AAG4C- �W <br />RENS: oA1'e- Y/�I RECEIVED BY: <br />TITLE: PHONE :73 7f-DATE:7 10 --77 <br />Revised Date 1/29/97 23 CCR UST Regs May 5, 1994 <br />