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COMPLIANCE INFO 2004 - 2011
EnvironmentalHealth
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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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UMWEED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page 1 of 2 <br /> TYPE OF ACTION El 1.NEW PLAN El 2.CHANGE OF INFORMATION ago-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 as Facility Name or DBA) 3. <br /> G btu iZ d'''►' 1'1')1 R j A <br /> BVyS SS SITE ADDRESS 103 C 104. <br /> U. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.&,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified <br /> the e u�ment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel_[23 CCR§2632,2634,2638,26411 <br /> 490-3s <br /> MONITORING EQUIPMENT IS SERVICED ANNUALLY ❑ 99.OTHER(Specify): 490-3b. <br /> M. MONITORING LOCATIONS <br /> ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN )d 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 49o1. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that heck apply) <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. <br /> WITH AUDIBLE AND VISUAL ALARMS.[23 ccR§2632,26341 <br /> SECONDARY CONTAINMENT IS: 14 a.DRY Elb.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6 <br /> PANEL MANUFACTURER: V 1sx-1 r-y- Q.,T- 490-7. MODEL#: 'CL-16 drD 49". <br /> LEAK SENSOR MANUFACTURER: �� �'��(L P-10!0+ 490-9" MODEL#(S):/ •tj! 490-10. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490.11. <br /> PANEL MANUFACTURER 490-12. MODEL#: 490-13. <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. <br /> 490-18. <br /> _ _PROGRAMMED TESTS:_ ❑ a.0_1_g.p.h. ❑ b.0.2 gp.h. C] ER c.OTH (Specify): _ 490-19. <br /> [Ell 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 ccR§2646.13 _- 490-20. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 ccR§26451 TESTING PERIOD: ❑ a.36 HOURS Elb.60 HOURS a9az1- <br /> 49412. <br /> - ----- --------- 490-23. <br /> ❑ 5.TANK INTEGRITY TESTING PER 123 CCR§2643.11 <br /> 49414. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): _ 490-25. <br /> -- -------- - - - -- 490-26. <br /> ❑ 99.OTHER(Specify): 490-27. <br /> eck all <br /> (Ch <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) 'Clapply) <br /> 1.CONTINUOUS MONITORING OF PIPEIPIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28- <br /> [23 CCR SECONDARY CONTAINMENT IS: JO a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29- <br /> §26361 <br /> PANEL MANUFACTURER YC�'1 � 12M4 490-30. MODEL#: TLS Sb 1 490-31. <br /> LEAK SENSOR MANUFACTURER: \j I 490-31 MODEL#(S):, �) �� -33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. gj a.YES LTb.NO 490-34. <br /> FAILUR&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 4s0-36. <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 <br /> 490-37. 490-39.#S L. 000 a90-3e. <br /> MLLD MANUFACTURER(S):V/}�,12.IES{ MO_-"---(-)- <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TSTS.[23 ccR§26361 490 39. <br /> E <br /> ELLD MANUFACTURER(S): 49040 MODEL#(S): 49041. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2&p-h. ❑ b.MINIMUM ANNUAL 0.1&p.h. 490-41 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043. <br /> ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. _ ❑ a.YES ❑ b.NO 49044- <br /> 49D45 <br /> ❑ 4.PIPE INTEGRITY TESTING. <br /> 490-46. <br /> _ TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49047. <br /> 490-48. <br /> 5.VISUAL PIPE MONITORING. <br /> FREQUENCY: a DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49. <br /> /� •Nbwed for ImniEotmS of <br /> unburiedemery R®eaaro�fud_P�°�a,3u HSC 42szat.s(b)(3) <br /> -" ---- 490.80. <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)1 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM._ 49481. <br /> - -- --------- -- ---- -490-52. <br /> ❑ <br /> 99.OTHER(Specify) 490-53. <br /> UPCF UST-11(12/2007)-1/4 www.unidocs.org <br />
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