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2300 - Underground Storage Tank Program
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PR0231435
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BILLING PRE 2019
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Last modified
2/9/2024 11:56:49 AM
Creation date
8/8/2019 4:19:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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l <br />IED PROGRAM CONSOLIDATED FO <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - (Page 2 of 2) <br />VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING (Check all <br />that <br />apply) <br />UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br />® 1. CONTINUOUS ELECTRONIC MONITORING ❑ 2. FLOAT AND CHAIN ASSEMBLY ❑ 3. ELECTRONIC STAND-ALONE <br />490-54a. <br />❑ 4. NO DISPENSERS ❑ 99.OTHER (Specify) <br />490-54b. <br />LEAK MONITOR MANUFACTURER: Veeder-Root 490-55. MODEL#: TLS -350 <br />456. " <br />LEAK SENSOR MANUFACTURER:Veeder-Root 490-57. MODEL #(s): 794380-208 <br />490-58. <br />DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a. YES ❑ b. NO <br />490-59. <br />UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO <br />490-60. <br />FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO <br />490-61, <br />UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a. YES ❑ b. NO <br />__ ............._._._......... <br />------...................._......_.__.._............._..............__....._................. <br />490-62. <br />2. DOUBLE WALL I. S.. . ____....._.......__.........-_........._.__..._........-63... <br />UDC CONSTRUCTION IS: ® SINGLE WALL ❑ <br />490-63. <br />IF DOUBLE WALL: <br />490-64a. <br />UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a. LIQUID ❑ b. PRESSURE ❑ c. VACUUM <br />A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a. YES ❑ b. NO <br />490-64b. <br />VII. PERIODIC SYSTEM TESTING <br />❑ I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED <br />490-65. <br />LEAK DETECTION (ELD) MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 123 CCR ¢2644.11 <br />® 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. <br />490-66. <br />® 3. SPILL BUCKETS ARE TESTED ANNUALLY. <br />490-67. <br />VIII. RECORD KEEPING <br />The following monitoring/maintenance records are kept for this facility: <br />490-68. <br />® a.ALARM LOGS [Ib. VISUAL INSPECTION RECORDS Elc. TANK INTEGRITY TESTING RESULTS <br />❑ d. SIR TESTING RESULTS (and supporting documentation records) ❑ e. TANK GAUGING RESULTS (and supporting documentation records) <br />® f. ATG TESTING RESULTS (and supporting documentation records) ❑ g. CORROSION PROTECTION 60 -DAY LOGS <br />® h. EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS <br />IX. TRAINING <br />® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: <br />490-69a. <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) <br />® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />490-69b. <br />® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />490-69c. <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />490-69d. <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />490-69e. <br />❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />490-69t. <br />STATISTICAL INVENTORY RECONCILIATION" <br />❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" <br />490-69g. <br />❑ OTHER (Specify): <br />490-69h. <br />490-69i. <br />This facility has a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council <br />490-70. <br />(ICC). The "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems annually, and within 30 <br />days of hire. This training will include, but is not limited to, the following: <br />➢ Operation of the UST systems in a manner consistent with the facility's best management practices. <br />➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br />➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. <br />v Name(s) of contact person(s) for emergencies and monitoring alarms. <br />X. COMMENTS/ADDITIONAL INFORMATION <br />Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. <br />490-71. <br />Overfill protection - Flapper <br />XI. PERSONNEL RESPONSIBILITIES <br />The UST Owner/Operator is responsible for ensuring that: 1.) the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br />by this Plan occurs; 2.) all conditions that indicate apossible release are investigated; and 3.) all monitoring records are maintained ro erI . <br />.................. P P....y ... .............................. <br />.. . <br />THE FOLLOWING PERSON(S) ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br />NAME: Ian Moorhead 490-72. TITLE Environmental Compliance Manager <br />490-73. <br />NAME: Manjit & Gurpal Grewal 490-74 TITLE: Franchisee <br />490-75. <br />The Designated UST Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any <br />conditions that need follow-up action. <br />XII. OWNER/OPERATOR SIGNATURE <br />CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br />APPLICANT SIGNATURE <br />DATE: <br />490-77. <br />REPRESENTING: 0 1. Tank Owner/operator ❑ '. Facility Owner rator ® 3. Authorized Representative of Owner 490-76. <br />APPLICANT NAME (print): 490-78. <br />APPLICANT TITLE: <br />490-79. <br />Ian Moorhead <br />Env. Compliance Mgr. <br />UPCF UST -D (11/2007) - 3/4 www.unidocs.org <br />
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