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BILLING 2007 - 2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232507
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BILLING 2007 - 2015
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Last modified
10/26/2023 2:23:14 PM
Creation date
11/6/2018 11:33:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2007 - 2015
RECORD_ID
PR0232507
PE
2361
FACILITY_ID
FA0003846
FACILITY_NAME
Verizon Business: LDIKCA
STREET_NUMBER
2500
Direction
W
STREET_NAME
TURNER
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
029-030-39
CURRENT_STATUS
01
SITE_LOCATION
2500 W Turner Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TURNER\2500\PR0232507\BILLING 2007 - 2015 .PDF
QuestysFileName
BILLING 2007 - 2015
QuestysRecordDate
9/8/2016 6:06:18 PM
QuestysRecordID
3186027
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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"- NIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER D7SP ENSER C©NTe1py1VIEN ,(UDj11OIVITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD - 40.943 <br /> 490.54 <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> JK 4.NO DISPENSERS ❑99.OTHER S ify): <br /> PANEL MANUFACTURER 490.51 MODEL#: 490-u. <br /> LEAK SENSOR MANUFACTURER 490-57 MODEL#(S): w0-54 <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 49 . <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES [1b.NO 490.61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ❑ a.YES ❑le.NO 49 <br /> 2.UDC CONSTRUCTION Is ❑l.SINGLE WALLED ❑2.DOUBLE-WALLED 46.63 <br /> 9 DOUBLE WALLED: 490401 <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 490-64 <br /> . <br /> `�r•sais. umrA , MR <br /> n.,. <br /> 1. EIA TESTING: THIS FACILITY HAS BEEN NOTIFIED BY STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49 - <br /> LEAK <br /> MUST BE PERFORMED. PERIODIC EIA 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. �49a67 <br /> The folhswing monitoring/maintena ec records are kept for this facility: <br /> ®Alarm logs 490643 ❑Visual Inspection Records 49o. ®Tank integrity testing results 490 <br /> ❑SIR testing results(and supporting documentation records). 4904'9,1 ❑ Tank gauging results(and supporting documentation records). 490-6a4 <br /> ®ATG Testing results(and supporting documentation records).49obef ❑ Cor ision Protection60-day logs 490-644 <br /> ®Equipment maintenance and calibration records. 490.68h <br /> �r <br /> ®Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-6% <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Requited)490.693 <br /> ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69,1 <br /> ® CALIFORNIA UNDERGROUND STORAGE TANK LAW 4900-93 <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"wawf <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490694 <br /> ❑ OTHER(Specify):mwh,N69t <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 hive.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 /> A"dlCOwn4wh iD O IAN Ii!TPOR IIA CI01 ;;+ u s <br /> Provide additional commentshereor indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-73 <br /> Ovtr� frweril.^ '� u41 1 Se a v 90 <br /> _k ON 190 <br /> "M NM t ... ..` xL rERsor�E xEs�'br_rnt.w W .s, x. .; r. " ,r =i <br /> The UST Owner/Operalor is responsible for ensuring that:t)the daily/routine UST monitoring activities and maintenanceof 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 person(s)are responsible for performing the monitoring and equipment maintenance: <br /> NAME Gary Duvall 49o.n TITLE Desginated Operator <br /> 490-73 <br /> NAME 490.74 TITLE 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/OP.ERATOR3��NA :iJRE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE f 49x76 DATE, n <br /> r ow wr <br /> APPLICANT NAME(print): 490.78 APPLICANT TITLE: 49°x9 <br /> Todd Harris Regional Env.Manager <br /> UPCF US-T-D(122007)3/4 <br />
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