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BILLING PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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4315
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2300 - Underground Storage Tank Program
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PR0231760
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BILLING PRE 2019
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Entry Properties
Last modified
11/20/2023 11:45:15 AM
Creation date
8/23/2019 11:27:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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NTAL <br />SAN JOAQUIN COUNTY <br />ENV RO �ORAGE TANKH DEPARTMENT <br />MONITORING PLAN - PAGE 1 <br />Mol. <br />TYPE OF ACTION ❑ 1. NEW PLAN Al - <br />2. CHANGE OF INFORMATION Muz <br />PLAN TYPE [] MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMS) <br />M04. <br />FACILITY 1D # (Ag enc Y USe OrIY) f I I <br />W <br />FACILITY NAME { tA 1 ti. v ` MoaCIT <br />Y <br />FACILITY SITE ADDRESS I� 3 <br />preventive maintenance and calibration of monitoring equipment (ag sensors, probes. lint leak detectors. etcJ be performed in <br />State law regaires that testing, pr pe uslifled personnel. <br />Mal. <br />accordance with the equipment manufacturers' inStnnctions, Or annually, whichever is more frequent. St 99 UTtIER (Speclfy)'d�_ <br />MONITORING EQUIPMENT IS SERVICED ❑ I ANNUALLY ❑ <br />rh*�Wrl-gonplincde a Sate Plan shoglayoutsandthe locations where monnonng is performed (l.t„ location of tach sensor, <br />ctmg ntrolpal. el Rus;ness Plan map, <br />MONITORING 1S PERFORMED USING THE FOLLOWING METHOD(S)' (Check all that apply) <br />1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR UID FINT ILLED L) SO c, UNDER pRl SSl RFY CO❑ dl UNDER VACUUM <br />SECONDARY CONTAINMENT fS: ❑ a. DRY C9 MIT MODEL #, F q g; Z 9 0 - 0 L 2_ <br />PANEL MANUFACTURER: VEE E 2 R" I Mt+. MODEL iI(S): 3 5 <br />LEAK SENSOR MANUFACTURER: I% t �D ER R O 0 T <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL T M16 MODEL #: <br />PANEL MANUFACTURER: *^is MODEL #(S): _ <br />IN -TANK PROBE MANUFACTURER: c. <br />a. CONTINUOU❑ b. DAILY/NIGHTLY WEEKLY <br />CI <br />LEAKTEST FREQUENCY: 11S ❑ e OTHER (Specify): <br />❑ d. MONTHLY <br />PROGRAMMED TESTS: ❑ s. 0.1 g.p.h, ❑ b 0 2 g.p.h. ❑ c. OTHER (Sp�xif�)'. <br />❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PEP 23 CCR §2646.1 <br />❑ 4. WEEKLY MANUAL TANK GAUGING(MT HOURS 3 CCR 42645 ❑ b. 60 HOURS <br />TESTING PERIOD: E] a. <br />TESTING PER 23 CCR $2643.1 <br />M21. <br />W2. M23. <br />M2a <br />M26 M27. <br />❑ S. (STEGRITY <br />TEST FREQUENCY: ❑ a. ANNUALLY C] b. BIENNIALLY ❑ c. OTHER (Specify . <br />DAILY b. WEEKLY (ae4"rta•li•M: ioorovd) <br />❑ 6.VISUAL MONITORING DONE: ❑ a. ❑ <br />Mza. <br />❑ 99 OTHER (Specify): <br />M30. <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />OF PIPING SUMP(SYTRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />of <br />1. CONTINUoiIS FLECTRONIC MONITORING <br />jffi a. ❑ b. LIQUID FILLED q c. UNDER PRESSURE , / ❑ d. UNDER VACUUM <br />IS: DRY - 0 2. 2- <br />, <br />SECONDARY CONTAINMENT M12 MODEL #: � Y ir 2_5io <br />E ms- CZ O O T Z 0 F <br />cl <br />Mia. MODEL #(S): a 0 <br />PANEL MANUFACTURER: - y(� � <br />LEAK SENSOR MANUFACTURER: VEo T % aYES E] b NO <br />TURBINE) SHUTDOWN? . <br />Msa. <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., <br />SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? IST a. YES ❑ b. <br />M37 <br />WILL FAILURVDISCONNECTION OF THE MONITORING TS <br />ROUTINELY PERFORMS 3.0 g.P h. I. EAK TESTS AND RESTRICTS OR SHUU <br />OFF <br />2 MECUA 4GAL LINE LEAK DETECTOR (MLLD) THAT <br />M39. <br />PRODUCT FLOW WHEN A LEAK IS DETECTEDMze. <br />t +�-Of*[l•-�.� � � MODEL #(S); <br />MLLD MANUFACTURER(s). h. LEAK TESTS }� _ �J <br />3. ELECTRONIC LINE LEAK DETECTT (ELL ) THAT RQ(M LY PERFORMS 3.0 g.p Mao MODEL # o �� ��/ " cc/ <br />�� 26c <br />i <br />ELLD MANUFACTURER: b_ Q� <br />❑ a, MINIMUM MONTHLY 0.2 g.Rh ❑ b. MINIMUM ANNUAL O l g.p.h <br />Mae. <br />Mai <br />PROGRAMMED LINE INTEGRITY TESTS: <br />OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? Ela YES ❑ b. NO <br />WILL ELLD DETECTION ❑ a. YES ❑ b. NO <br />WILL ELLD FAILURMISCONNECTION TRIGGER AUTOMATIC PIMP SHUTDOWN? <br />❑ a, INTEGRITY TESTINGMas. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) <br />• t. MM, MONTHLY •@ EACH TING S YSTFM OPERATED*• <br />M,6 <br />Mae. <br />❑ S VISUAL MONITORING DONE' ❑ A DAILY RO *n'�CY �MYII •• Ny to magyar of unl �+dn flYar cud p p og o•ty pn 12S291 <br />5(bX3) <br />PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR MAW) <br />❑ 6. PIPING IS SUCTION <br />❑ 7. NO PRODUCT OR REMOTE FILL PIPING 1S CONNECTED TO THE UST(s) <br />M,s <br />❑ 99, OTHER (Spocity) 07r1W <br />SJCEHD-A (07/03) -1/d <br />-- Z0 39tid <br />713HS00_1d31dM bSZL£££60Z bSIEO 500Z/6Z/b0 <br />
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