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2300 - Underground Storage Tank Program
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PR0518288
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BILLING_PRE 2019
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Entry Properties
Last modified
2/25/2021 3:29:25 PM
Creation date
11/5/2018 9:26:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\3250\PR0518288\BILLING 2013-2015.PDF
QuestysFileName
BILLING 2013-2015
QuestysRecordDate
7/5/2017 11:33:39 PM
QuestysRecordID
3483654
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORl'q..0, <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 49654. <br /> I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 496546 <br /> I.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑4.NO DISPENSERS ❑99.OTHER(Specify): <br /> PANEL MANUFACTURER: Veeder-Root 496ss MODEL#: TLS-350H +96s6. <br /> LEAK SENSOR MANUFACTURER. Veeder-Root 490-57 1 MODEL#(S):794380-208 49658 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES ❑b.NO 49659 <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. E a YES ❑b.NO 49061 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑b.NO 49662 <br /> 2.UDC CONSTRUCTION IS E L SINGLE-WALLED ❑2.DOUBLE-WALLED 89663 <br /> IF DOUBLE WALLED: 4904iCa <br /> UDC INTERSTITIAL SPACE Is MONITORED BY: I.LIQUID 2.PRESSURE 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 496616 <br /> VII.PERIODIC SYSTEM TESTING <br /> ❑ 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49a65. <br /> LEAK DETECTION LD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 <br /> i]2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. (except double-wall fill sumps) 49046 <br /> N 3.SPILL BUCKETS ARE TESTED ANNUALLY. 49067 <br /> VIII.RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> N Alarm logs 49oa:aa ❑Visual Inspection Records 49668b ❑Tank integrity testing results 49668c <br /> ❑SIR testing results(and supporting documentation records). 496686 ❑ Tank gauging results(and supporting documentation records). 49668. <br /> ❑ATG Testing results(and supporting documentation records).49668f ❑ Corrosion Protection 60-day logs 496688 <br /> Equipment maintenance and calibration records. 490-68n <br /> IX.TRAINING <br /> ®Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their jab duties. 49669. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> X THIS UNDERGROUND STORAGE TANK MONrrORINo PLAN(Required)490-69b <br /> N OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49669. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-698 <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49669e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"49"9f <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"496695 <br /> ❑ OTHER(Specify):M69n.M69i <br /> This facility has a"Designated UST Opemtor"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.49o-7o <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.490m <br /> Audible and visual overfill alarm set at 90%of tank capacity for overfill protection. <br /> M.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that:1)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 monitoring records are maintained properly. <br /> The following pemon(s)are responsible for performing the monitoring and equipment maintenance: <br /> NAME Tim Hurlocker 4962 TITLE Director of Gasoline Operations 49675 <br /> NAME Dennis Bock 49674 TITLE Environmental Compliance Manager 490-75 <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 certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE 49676 DATE: 490-77 <br /> I • f�. �fs 1 /7 /13 <br /> RE EN7IN .D[ Tank c 1 r foa <br /> APPLICANT NAME(print): 490-78 APPLICANT TITLE: 49679 <br /> David H Rogers Director of Real Estate Development <br /> im�T:T1CT aT/17 HI1 T A <br /> 'l -" /ice n�F/ <br />
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