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BILLING PRE 2019
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231405
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BILLING PRE 2019
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Last modified
2/29/2024 1:16:56 PM
Creation date
10/26/2018 2:04:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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'TNIFIED PROGRAM CONSOLIDATED FORD' <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING El2.FLOAT AND CHAIN ASSEMBLY [13.ELECTRONIC STAND-ALONE 490-54b <br /> ❑4.NO DISPENSERS 099.OTHER(Specify): <br /> – ----- ----- - - — --------------- <br /> PANEL MANUFACTURER:VEEDER ROOT 490-55 MODEL#:TLS-350 490-56. <br /> 1 <br /> --- --- —–— --- – --- – — _—__---35 ------ — <br /> LEAK SENSOR MANUFACTURER:VEEDER ROOT 490-11 MODEL#(S):208 — – 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ® a.YES ❑b.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ® a.YES ❑b.NO 490-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 490-61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a.YES ❑b.NO 490-62 <br /> 2.UDC CONSTRUCTION IS ®1.SINGLE-WALLED [:12.DOUBLE-WALLED 490-63 <br /> IF DOUBLE WALLED: 49G64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ 1.LIQUID [12.PRESSURE ❑3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490.64b <br /> VII.PERIODIC SYSTEM TESTING <br /> El 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> _ _—LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR§2644.1) <br /> ®2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 <br /> VIII.RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> ®Alarm logs 490-ma ®Visual Inspection Records 49o-68b ❑Tank integrity testing results 490-68c <br /> ®SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-68e <br /> ®ATG Testing results(and supporting documentation records).490-68£ ❑ Corrosion Protection 60-day logs 490-68g <br /> ®Equipment maintenance and calibration records. 49o-6ah <br /> IX.TRAINING <br /> ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-698 <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-690 <br /> ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> ® CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490-69f <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-698 <br /> ❑ OTHER(Specify):M69h,M69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices <br /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490-70 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.a90-71 <br /> OVERFILL PREVENTION:-DROP TUBE WITH MECHANICAL FLAPPER <br /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that:I)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all oitoringerds are maintained properly.The followingperson(s)areesponsible for performing the monitoring and equipment maintnance: <br /> NAME RAMESH SOOD 49,72 TITLE OWNER <br /> 490-73 <br /> NAME RAVINDER <br /> 490-75 49oa4 TITLE MANAGER <br /> The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> XII.`OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certi that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE490-76 DATE: 490-77 <br /> December 9,2010. <br /> REP NEIN 1.Tank er/O erator Owner erator3.A thorized_Re resentative f caner <br /> APPLICANT NAME(print): 490-78 APPLICANT TITLE: 490-79 <br /> RAMESH SOOD OWNER <br /> UPCF UST-D(12/2007)3/4 <br />
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