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BILLING_PRE 2019
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2300 - Underground Storage Tank Program
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PR0231332
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BILLING_PRE 2019
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Entry Properties
Last modified
9/24/2024 2:20:04 PM
Creation date
12/4/2018 9:50:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FOV- <br /> UNDERGROUND <br /> OUNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page 1 of 2) <br /> TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490.1 <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br /> I..FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> -BUSINESS NAME(Same asFACILITY NAME)Clty of Lodi Municipal Service Center <br /> 31 <br /> BUSINESS SITE ADDRESS 1331 S. Ham Lane 103 CITY Lodi, CA 95242 104 <br /> H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,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. <br /> 23 CCR '2632,2634,2638,2641 <br /> MONITORING EQUIPMENT IS SERVICED 12 I.ANNUALLY ❑ 99.OTHER(Specify): 490-3a <br /> III.MONITORING LOCATIONS 490.36 <br /> ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN.AS 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634 90-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> L----SECONDARY SECONDARY CONTAINMENT IS: -_® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490.6 <br /> --- --- --- ------- <br /> PAN ------------- <br /> L'I,MANUPACTURER: Yeeder Root__ 490-7. MODEL#: TLS 350 490-8 <br /> - -- - <br /> ?AK SENSOR MANUFACTURER: 490"� MODE -------------- <br /> 49o-t0 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) (23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 490-12. MODEL#: 490.13 <br /> ------------------------------------------------------------------------ <br /> IN=TANK PROBE MANUFACTURER: 490.14. MODEL#(S): <br /> ____ __ a9o-ts <br /> - --------------------------------------- ---------------TEST FRE UENCY: ------------------------------------- <br /> Q ❑ a.CONTINUOUS ❑ b.DAILY/NIGIITLY 490-16 <br /> ❑ o.WEEKLY <br /> ---------------- ❑ d:-MONTHLY E3pec :e.OTHER(Specify):------ ------ 490-t7 <br /> PROGRAMMED TESTS: -- ---- -_ - ----------------------- <br /> ---------------------------------------------- <br /> ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. El c.OTHER(Specify):--- 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). "TESTING PERIOD: ❑ a.36 HOURS ❑ b.601IOURS 490-21 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-" <br /> 490-23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 <br /> 490-25 <br /> ❑99.OTHER (Specify): <br /> 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> LX 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND ago-z0- <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:Pga.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.29 <br /> - <br /> _ PANEL MANUFACI'URIiR:Vee der Root 490.3-i-0 1 MODEL#:TLS 350 49041 <br /> LEAK SENSOR MANUFACTURL'R: Veeder Root 490.32 MODEL#(S): 208 490-33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO <br /> 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WIZEN A LEAK IS DETECTED(23 CCR§2636 - _ _ _ 49x36 <br /> MLLD MANUFACTURI R(S):FF Petro Vaporless Mfg Inc (rm) 4137 MODEL#(S)STP-MLD-D 99L82000 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 47-71 <br /> 90.39 <br /> ----- ---- - -- <br /> ELLD MANUFACTURER(S) _ _ 49440. `MODEI,#(S)_ ago at <br /> -- -- ----- -------------- ----- <br /> PROGRAMMED IN LINE'LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. El 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNEC'I'ION'I'RIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 <br /> ❑ 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490.46490-47 <br /> 5.VISUAL PIPE,MONITORING. <br /> FR1iQiJENCY Ela.11AILY 490.48 <br /> ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACII TIME SYSTEM OPERATED* 49049 <br /> "Allowed for nionitorins of unburied emefgmcy generator fuel piping only w IISC 25281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)J. 490%50 <br /> 7.NO REGULATED PIPING PER IIEALTII AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> to-51 <br /> ❑ 99.OTHER(Specify) _ SEP 2 N112 490-52 <br /> 490-53 <br /> bAIV Jt)N. .UiIM Gtj L)NTY <br /> UPCF UST-D(12/2007)1/4 hEALTH DE,'/],t{ MEINT <br />
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