My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING 2013 - 2015
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
420
>
2300 - Underground Storage Tank Program
>
PR0231458
>
BILLING 2013 - 2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/12/2023 12:00:29 PM
Creation date
11/7/2018 12:19:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2013 - 2015
RECORD_ID
PR0231458
PE
2361
FACILITY_ID
FA0001196
FACILITY_NAME
SAVE ON FUEL
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
219-312-06
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\420\PR0231458\BILLING 2013 - 2015.PDF
QuestysFileName
BILLING 2013 - 2015
QuestysRecordDate
5/18/2018 10:45:32 PM
QuestysRecordID
3728555
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
13
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
FIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Pae I of 2) 14�12TYPE OF ACTION ( NEW PLAN El2.CHANGE OF INFORMATION ICAL FOR APLAN TYPE �1.MONITORINGISIDENTLL USTs AT THIS FACILITY. <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( <br /> FACILITY INFORMATION <br /> FACILITY ID#(Agenry Use Only) p 3' <br /> BUSINESS NAME(Same as FACILITY NAME) 5' p N AVE6 AS '- LAV O 1, 1KBUSINESS SITE ADDRESS 11 2-0 W ose H I l C ACITY <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE - <br /> Tesnng,preventive maintenance,and calibration of monitoring equipment(e sensors,probes,line leak detectors,etc.)must be Performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 49o-3a <br /> 23 CCR 2632,2634.1412 2(141) 490-31, <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99 OTHER(SPectfy): <br /> III.MONITORING LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/bI AP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634 490< ING <br /> IV.TANK MONITORING IS PERFORMED USENTITIAL so cE�ox sECONDARYDCONTAINMENr 90 <br /> I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INT 49 <br /> VAULTS)WITH AUDIBLE AND VISUAL ALARMS (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-8 <br /> 490'7. MODEL#: S <br /> o p 49ato <br /> PANEL MANUFACTURER: _-, 490-9. MODEL#(S): <br /> LEAK SENSOR MANUFACTURER. E E- o 490-11 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WAL 9u KM§.J23 CCR 26 <br /> ODEL#* <br /> 490.13 <br /> 494-35 <br /> PANEL MANUFACTURER: ago-30,. MODEL#(S): <br /> 490-16 <br /> FN-TANK PROBE MANUFACTURER: ❑ b.DAILY/NIGHTLY Elc.WEEKLY <br /> 49417 <br /> LEAK TEST FREQUENCY: [0] a CONTB�IJOUS <br /> -[I d.MONlT-ILY_____ 49419 <br /> c.OTHER(Specify): 490.19 <br /> - b.0.2 g.p.h. ❑ 49420 <br /> PROGRAMMED TESTS: ❑ a 0.1 g.p.h. ❑ <br /> ❑ 2 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§ <br /> 490.21 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MIG)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 490.23490.24 <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.25 <br /> TEST FREQUENCY: Ela.ANNUALLY F1 b.BIENNIALLY ❑ c.OTHER(Specify): 4go-26 <br /> 490-27 <br /> ❑99.OTHER (Specify): <br /> 490.24 <br /> V: ORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS MONITORING OF PH'EI PH'ING SUMPS)AND OTHER MENT <br /> PIPE MONITORING IS PERFSECONDARY CONTAINW ITII AUDIBLE AND <br /> 490-29 <br /> SUAL ALARMS. (23 CCR§2636) 49x31 <br /> SECONDARY CONTAINMENT IS: a DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED o 3❑d MODEL#:AC 490.33 <br /> OT 490.32 MODEL#(S): ' Z o <br /> PANEL MANUFACTURER: V D T 490-34 <br /> LEAK SENSOR MANUFACTURER: F D ❑a.YES ❑b.NO 490.35 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e,TURBINE)SHUTDOWN. a YES ❑b.NO <br /> FAILUREIDISCONNEC710N OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a9o-3s <br /> 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTllVELY PERFORMS 3.0 g.P•h.LEAK TESTS AND RESTQ L�2R SHUTS Ole s <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR F-6 490-37 MODEL#(S): 1 <br /> 490.39 <br /> MELD MANUFACTURER(S7 a9o4t <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)T T ROUTINELY PERFORMS 3.000 h.MOADF (SS (23 CCR§26 ) 49442 <br /> ELLD MANUFACTURER(S) MONTHLY 0.2 g.p.h. ❑ Z.MINIMUM ANNUAL 0.1 g.p.h. ago<3 <br /> IN LINE LEAK TEST: ❑ 1.MINWUM ❑a YES ❑b.NO <br /> PROGRAMMED 49044 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO <br /> ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUNT SHUTDOWN. 490.4649047 <br /> ❑ 4.PIPE INTEGRITY TESTING 49049 VERY 3 YEARS c.OTHER S mi ) 49o-4s <br /> TEST FREQUENCY 11a.ANNUALLY ❑ b.E ❑ 49049 <br /> ❑ 5.VISUAL PIPE MONITORING•C] b WEEKLY ❑c MIN.MONTHLY&EACH TIME SYSTEM OPERATED• 490.50 <br /> FREQUENCY ❑ a.DAILY cretorfuel i m ont HSC 25281.5(b 3 <br /> •Alloxedfor vronirodn otwbudedeme 23 CCR§2636(a)(3)1. <br /> C] 6.SUCTION PH'ING MEETS EXEMPTION CRITERIA L DMSION 20,CHAPTER 6.7IS CONNECTED TO THE TANK SYSTEM <br /> TY CODE, 490-52 <br /> F1 7.NO REGULA <br /> TED PIPING PER HEALTH AND SAFE 490,53 <br /> 490-51 <br /> ❑ 99.OTHER(Specify) <br /> UPCF UST-D(121200'1)114 <br />
The URL can be used to link to this page
Your browser does not support the video tag.