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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 /> UNDERGROUND TANK PROGRAM OFFICIAL INSPECTION REPORT <br /> Facility Name /4/�i •'�Jye/� Facility ID# 115;:�7 <br /> Facility Address /! 9 wy9`j City Le .zip D <br /> Facility Phone # Facility Contact <br /> Inspection Date: lam/ cf Inspection Type: �Q.o vr7 <br /> UST: Dual Wall_ Single Wall OVERFILL: Audible_ Visual— <br /> Mechanical-UST Monitoring Alternative UST Contents <br /> PIPING SYSTEM: Dual Wall Single Wall Suction ressure Gravity <br /> Does the leak detection system shut off the pump automa ically? YES_ NO_ <br /> VIOLATIONS <br /> TANK # <br /> UST GENERAL REQUIREMENTS <br /> Permit to Operate [H&S 252841 <br /> orms A & B current c <br /> Monitoring/Maintenance Records [23CCR 2712 (bTF <br /> Financial Responsibility [H&S 25292 .2 a <br /> monitoring Recorcis Available L23CCH 2112J <br /> monitoring an <br /> Response Plan La&3CUR 2632 2 <br /> Unaut orize —Releases Reported H& 252951 <br /> Monitoring Equipment Annual Test L23CCR 2630 <br /> over spill on ainer <br /> Permitted UST Re airs 23CCR 2661 <br /> Permitted Upgrades [23CCR 26601 <br /> Catnocic Protection a <br /> MANUAL INVENTORY RECONCILIATION MIR <br /> UST Int; rit Test 123CCR 2643.11 <br /> Annua MIR Re ort 23CCR 2646 <br /> Meters Calibrated [23CCR 2646 (e) (4) ] <br /> Daily tic reading 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 23CC7 <br /> 2646.1 (d) <br /> UST integrity ' es every two years <br /> Annual SIR Report L23CCR 2646.1 <br /> aa. y SticK Reaciing <br /> AUTOMATIC TANK GAUGING ATG <br /> Month <br /> l ATG Results [3CCR 2643 (b) (1) ] <br /> Annua ATG Summar Report L23CCR 2712 b 2 <br /> MANUAL UST TANK GAUGINGMT <br /> Tank Gal in Weekl [23CCR 2645 (b) ] <br /> Annua Tan Integrity Test 23CCR 2645 <br /> PIPING MONITORING <br /> Daily Suction Piping Monitoring [23CCR A .II] <br /> Piping Tightness Test [23CCR 2643 (b) , (c) , (d) ] <br /> Gravity i in este every 2 years e <br /> Monthly Line Test L23CCR 2643 c 2 <br /> Annual ea etec or test 12TCCR App.IV(1) (d)T <br /> SYSTEM STATUS: Major Violations No Violations <br /> COMMENTS: <br /> REHS• RECEIVED B <br /> TITLE: PHONE: DATE: <br /> Revised Date 1/29/97 CCR UST Regs May 5, 1994 <br />