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COMPLIANCE INFO 2004 - 2011
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231098
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COMPLIANCE INFO 2004 - 2011
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Last modified
7/25/2019 8:52:05 AM
Creation date
7/24/2019 4:44:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2011
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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1 � <br /> 16-Lt=�10 07: 15A FROM: T0:1209468333 r. 1 <br /> TiV; (7,9/ ,1677_ l' ez <br /> UNIFIED PROGRAM CONSOLIDATED FORM - .. <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- Pa c I of <br /> TYPE OF ACTION ❑ I.NEW PLAN 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE I MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY .': 490.2 <br /> Check one item only) ❑ 2.THIS PLAN COVERS ONLY TME FOLLOWING UST SYSTEM(S) <br /> 1. FACILITY INFORMATION _ <br /> FACILITY ID#(Agency Use Only) <br /> BUSINESS NAME(Same as FACILITY NAME) _ J <br /> BUSINESS SITE ADDRESS 01Z 103 CITY 104. <br /> f <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(c-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§2632,2634,2638,264 1 <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY El 99 OTHER(Specify): 4490_3b <br /> III. MONITORING LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/MAP SURMTTTED WITH THIS PLAN. W 2.SITE PLOT PLAN/MAP PRF,VIOUSLV SUBMITTED- (23 CCA§2632, <br /> 2634)49o-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 /> VAULTS)WITII AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: M a DRY ❑ b.LIQUID FILLED [:1c PRESSURIZED C]d.UNDER VACUUM 49x6 <br /> - 490-1 --v--------- 690.8 <br /> PANEL MANUFACTURER - b b MODEL# T t_ 1-� _ <br /> 490.9 MODEL#{S)' D 490-[0LEAK SENSOR MANUFACTURER L <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTFM USED TO MONITOR SINGLE WALL TANK(S),(23 CCR§2643) 49011 <br /> 490-12 MODEL fl: °W13 <br /> PANEL MANUFACTURER: _ - <br /> a90.14 MODEL#(S). 490.15 <br /> IN-TANK PROBE MANUFACTURER _ _ ----- --- <br /> - --- b.DAILY/NIGHTLY ❑ c.WEEKLY 490.16 <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ <br /> aoo-1•r <br /> ❑ d.MONTHLY --------E]--e. (Sp�t�)-- - ------- -- --------.... <br /> PROGRAMMED TESTS: C3 a.0.1 g p.h. El b. (Specify)-b.0.2 g p.h. ❑ c Ol-HS 1 490-19 <br /> - <br /> 490-20 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): <br /> ago-it <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD. Ela.36 HOURS ❑ b 60 HOURS 490.22 <br /> 490-Z3 <br /> El 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 4490.24 <br /> TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNTALLY ❑ c-OTHER(Specify): 490.25 <br /> 490.26 <br /> ❑99 OTHER (Specify): 490-27 <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> I.CONTINUOUS MONrrORING OF PIPE!PIPING SUMPS)AND OTIIER SECONDARY CONTAINMENT WITH AUDIBLE AND ago z9 <br /> SUAL ALARMS. (23 CCR§2636) 49049 <br /> SECONDARY CONTAINMENT IS�a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM v_ <br /> 1----- <br /> .-_----- <br /> -_- 490-31 <br /> 690J0 <br /> PANEL MANUFACTURER Lr ago-3z t MODEL#: � 490-33 <br /> ? _/` ---� <br /> 1 <br /> LEAK SENSOK MANUFACTURER ( fujQJl t MODEL#(S) a,✓.� ____- <br /> n-YES ❑b.NO 490-34 <br /> PIPING LEAK ALARM TRIGGERS Al1TOMATIC PUMP(i.e..TURBINE)SHUTDOWN. 490.35 <br /> FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. t$a.YES ❑b.NO <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.4 g p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 --- _-- _ 490--36 <br /> � ---- 490- <br /> 490.37 J8 <br /> MLLD MANUFACTURER(S): MODEL#(S): - 2,O O(3 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g-p.h.LEAK TESTS (23 CCR§2636) 494-J9 <br /> 49040 <br /> MODEL#(S) <br /> ELLD MANUFACTURER(S) <br /> FROG RAMMED IN LINE LEAK TEST: ❑ 1 MINIMUM MONTHLY 0 2 g-p.h ❑ 2.MINIMUM ANNUAL 0.1 gp.h. <br /> a9o�a2 <br /> a.YES ❑b.NO 490-43ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. C149044 <br /> ELLD FAILURE(DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN- ❑a.YES ❑b NO <br /> 4.PIPE INTEGRITY TESTING 49045 490.46 490.47 <br /> TEST FREQUENCY [I a.ANNUALLY C1 b.EVERY 3 YEARS ❑ c OTHERS cif <br /> a00.4A <br /> 5.VISUAL PIPE MRING. 490..49 <br /> FREQUENCY a.DAILY ❑ b WEEKLY El c.MIN-MONTIiLY&EACH TIME SYSTEM OPERATED• <br /> •Atl0v ed for m0mtu n of mbaned mm9encY Awff='fuel pjpmgonjJISC§25291 5M3) <br /> ❑ 6.SUCTION PIPING MEET'S EXEMPTION CRITERIA 123 CCR§2636(0)(3)). ago so <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7[S CONNECTED TO THE TANK SYSTEM <br /> 490.51 490-52 <br /> ❑ 99.OTHER <br /> ago 53 <br /> (Specify) <br />
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