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BILLING_2011-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231906
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BILLING_2011-2018
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Last modified
9/8/2021 11:15:07 AM
Creation date
11/5/2018 3:42:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2011-2018
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0231906\BILLING 2011-2015.PDF
QuestysFileName
BILLING 2011-2015
QuestysRecordDate
5/19/2017 11:21:46 PM
QuestysRecordID
3391302
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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0 RECEIVE® <br /> UNDERGROUND STORAGE TANK I:,) / Z 1 C011 <br /> RESPONSE PLAN-PAGE 1 (One form per facility) <br /> ROI <br /> TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION ENVIRONMENTAL HEALTH <br /> I. FACILITY INFORMATION PERMIT/SERVICES <br /> FACILITY ID# (Agency Use Only) <br /> BUSINLSS NAME(Same as FACI NAM Ro2. <br /> BUS IN S SITE A D S Ras. CITY t R04. <br /> 1I. SPILL CONTROL AND CLEANUP METHODS <br /> This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials <br /> Business Plan. <br /> If safe to do so,facility personnel will take immediate measures to control or stop any release(e.g.,activate pump shut-off,etc.)and,if necessary,safely remove <br /> remaining hazardous material from the UST system. <br /> ➢ Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to <br /> contain the hazardous material,but not greater than 30 calendar days,or sooner if required by the local agency. Recovered hazardous materials,unless still suitable <br /> for their intended use,will be managed as hazardous waste. <br /> ➢ Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material which has become too saturated to be <br /> effective or which is no longer intended for use will be managed as hazardous waste unless a waste determination in accordance with 22 CCR§6626111 finds that <br /> it is non-hazardous. Used absorbent material, reusable or waste, will be stored in a properly labeled and sealed container. Waste material shall be disposed <br /> appropriately. <br /> Y Facility personnel will determine whether any water removed from secondary containment systems,or from clean-up activity, has been in contact with any <br /> hazardous material.If the water is contaminated,it will be managed as hazardous waste unless a waste determination in accordance with 22 CCR§66262.11 finds <br /> that it is non-hazardous. If the water has a petroleum sheen(i.e.,rainbow colors),it is contaminated. A thick Floating petroleum layer may not necessarily display <br /> rainbow colors. Water(hazardous or non-hazardous)from sumps,spill containers,etc.will not be disposed to storm water systems. <br /> ➢ We will review secondary containment systems for possible deterioration if any of the following conditions occur: <br /> I. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; <br /> 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; <br /> 3. Hazardous material,other than the product/waste stored in the primary containment system, is placed inside secondary containment to treat or neutralize <br /> released product/waste,and the added material or resulting material from such a combination is not compatible with secondary containment. <br /> III. SPILL CONTROL AND CLEAN-UP EQUIPMENT <br /> PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazardous Materials Business Plan. This <br /> equipment is inspected at least monthly,and after each use,supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. <br /> EQUIPMENT NOT PERMANENTLY ONSITE,BUT AVAILABLE FOR USE IF NEEDED: (Complete nly if applicable) <br /> EQUIP ENT LOCATI N AVAILABI TY <br /> RIO. R20. R30. <br /> Al IA- <br /> R11. R21. R31. <br /> R12. R22. M2. <br /> R13. R23. R33. <br /> R14. R24. R34, <br /> R15, R25, Rus. <br /> IV. RESPONSIBLE PERSONS <br /> THE FOL OWING PERSON(S)ISIARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: <br /> N ',v, Roo. TITLE Rso. <br /> NA Rat T E R51. <br /> NAME , R4z. TITLE R52. <br /> lri� r <br /> NA A__ <br /> R43. TIT R53, <br /> V. MONITORING INDICATORS <br /> IF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE,STEPS TO VERIFY THE RELEASE WILL BE MADE AS FOLLOWS' <br /> ❑Additional system testing or data collection ❑Inspection by qualified persons ❑Recalibration of equipment <br /> Other: <br /> R60 <br /> UST Response Plan(3/2008)-1f3 <br />
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