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10 PUBLI HEALTH SERVICES SAN <br />4 <br />JOAQUIPCOUNTY <br />DIVISIOV <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />Ukq)ERGROUND�TORAGE T) PROGRAM INSPECTION REPORT <br />Facility Nam(2nAi &L Program ID# <br />Facility Address(/, city zip <br />UST: Dual WallAe�Single Wall_OVERFILL: Audible Visual Mechanical V <br />PIPING SYSTEM: Dual wall,/ Single wall Suction Pressure Gravity <br />DOES THE LEAK DETECTION SYS EM meet 23CCR 2636(8) requirements? YES NO <br />VIOLATIONS <br />M%U <br />UST GENERAL REQUIREMENTS <br />Permit to 02erate [H&SC 25284] <br />Forms A & B Current LH&SC 25284M)(c)j <br />Monitorina/Maintenance Records [23CCR 2712(b)] <br />Financial Rasnnngihilitv rm&sC 25292,21a)l <br />Monitoring Records Available [23CCR 2712) <br />Monitoring Plan [23CCR 2632(d)(1)) <br />2632 (d) (2)] <br />Unauthorized Releases Reported [H&SC 25295] <br />Monitoring —Equipment Annual Cert. L23CCR 2630(d)T— <br />Over sII Container 2635(b)) <br />Rermitted IIST Repairs r2lrrR 26611 <br />Re=itted Ilpar-ades [23CCR 26601 <br />Cathodic Protection [23CCR 2635(a)(2).(A)] <br />New USTs Monitored Continuously [23CCR 2630] <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />egrity TeSL:123 <br />-Annual--MTP V=r%nv-i- r7'1r(1V <br />Meters JI <br />-��tick Readinc <br />Z [23CCR 2646(r_)(3)] <br />Gallgincy Atink in 1�8 Tnnhpq_[2,3 _2 6 fr.) (1) (E) I <br />_CCE �6A <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -Variation Procs durs 'FoIlowe Z[ [23CCH 2646(e)] <br />S=1811ML (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(4)] <br />UST Integrity Test Every Two Years [23CCR 2646.1jg)_L_ <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily StIcK-Readi—ng [23CCIZ 2646 (c)(1)] <br />&=QNL= TMZ 0= (ATal <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual ATG Summary Report L2=R7=(jD)t2)j <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] Ain <br />MMUM Mflk IfffegfyXY TM L23CUR 2b475 (TO) I <br />an au in roc: urs F0IIoweCL L,43CCR 26215 (U) i K" <br />EIRING MONITORING <br />12aily Suga Pina MonitoKing [23QQ& ApR.Ij] 11 rl V, <br />Pi in Tightness Test [23CCR 2643(b),(c),(d)j V , KV -1 -- <br />Gravity Piping Tested Every 2 Years [23CCR-2643(e)] <br />T -TF <br />Monthly Line Test L23CCR 2643 c T7T2 <br />A=aI Li�aK Detear5r 'rest [23CCR 2b3uta)i <br />TANK REMOVAL <br />Permit to Close or CeaseOperationrH&SC 252981 <br />Tzemov9 r TemporarIy Close2[ [23CCR 2670J <br />14. a <br />ffXEHS JMW IRSPECTION DATE/TYPE:,,' <br />-71 <br />RECEIVED BY: PHONE: <br />Kevised Date 7/15/9C 23 CCR UST Regs May 5, 1994 PAGE /of <br />PHS 231 ("7) <br />