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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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2300 - Underground Storage Tank Program
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PR0231059
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BILLING_PRE 2019
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Entry Properties
Last modified
4/3/2023 2:50:23 PM
Creation date
11/14/2018 4:50:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231059
PE
2361
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
01
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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p.2 <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 2 <br />: VI. DISMNSEI MONITOMG <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHODS) (Check all that apply) N150. <br />I. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) <br />PANEL MANUFACTURER: ''is'-'• MODEL#: 7—C—/a o-9 M51 <br />LEAK SENSOR MAJWFACTURER ir/Lr? "t5J. MODEL #(S): 7-1 — L/S M54. <br />WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? CK a. YES ❑ b. NO -'- <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO M56• <br />WILL FAILURE/DISCONNECTIONOF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO <br />❑ 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />ASSEMBLY MANUFACTURER Mss. MODEL #(S): M59. <br />❑ 3.VISUAL MONITORING DONE: ❑ a DAILY ❑ b.'WEEKLY(Rapresog—yapp.o-d) Mu. <br />❑ 4. NO DISPENSERS <br />❑ 99. OTHER (Specify) M61. <br />VII. ENHANCED LEAK DETECTION <br />❑ 1. WE I- AVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK bj7p <br />DETECTION (CLD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §26{4.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br />VIII. TRAINING <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) 3+ao <br />1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />I <br />3. THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of 1/Olf2005) <br />4. ❑ CALIFORNLA UNDERGROUND STORAGE TANK REGULATIONS <br />5. ❑ CALIFORNLA UNDERGROUND STORAGE TANK LAW <br />6, ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION" <br />7. ❑ SWRCB PUBLICATION "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br />99 OTHER (Specify): n5st, <br />Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br />By January 1, 2005 this facility will have a "Designated UST Operator" who has passed the operator exam administered by the International Code Council (ICC) By <br />January 1, 2005, and annually thcr.afier, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. <br />This training will include, but is not limited to, the following: <br />Operation of the UST systems in a manner consislent with the facility's best management practices. <br />r The facility employee's role with regard to the leak detection equipment <br />The facility employee's role with regard to spills and overfills. <br />➢ Whom to contact for emergencies and leak detection alarms. <br />For facility employees hired on or after January I, 2005, the initial training wail be conducted within 30 days of the date of hire. <br />.](X.. COMM ENTSIADDITIQNAL INFORMATION <br />Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency):, MBS <br />Q Lies �r t I - �re�� r► f t+ D� D r©P 1 u b e f <br />rLGz P���r <br />X.' PERSONNEL RESPONSIBILITIES : <br />AS OF Ill/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - <br />FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFOK%AING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DEFECTION <br />EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br />UST SYSTEMS IN ACCORDANCE WITH 23 CCR § 2715(b). ' <br />XI. OWNER/OPERATOR SIGNATURE <br />CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br />OWNER'OPERATOR SIGNATURE REPRESENTING <br />DATE: Mgt. <br />❑ Owner M9o. <br />zcz&:.r sir' ❑ Operator <br />! - 7 <br />OWNER/OPERATOR NAME (print). M9i. <br />OWNEROPERATOR TITLE: nr�s <br />(4gercy Use 0"4) This plan has been revie d and: '!Approved ❑ Approved With Conditions Disapproved <br />Da lGt! V <br />Loral Agency Sisnature: _ -.&I-t e: <br />Comments/Special Condi <br />SJCEHD-d (07/03) - 314 07/23/'03 <br />
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