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COMPLIANCE INFO_2000 - 2011
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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2300 - Underground Storage Tank Program
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PR0231055
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COMPLIANCE INFO_2000 - 2011
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Last modified
11/27/2019 3:51:24 PM
Creation date
11/26/2019 1:07:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000 - 2011
RECORD_ID
PR0231055
PE
2361
FACILITY_ID
FA0002321
FACILITY_NAME
Delta arco
STREET_NUMBER
440
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16503003
CURRENT_STATUS
01
SITE_LOCATION
440 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SAN JOAQUIrWUNTY ENVIRONMENTAL HEALTH DIWTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE 2 <br /> VI. DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M50. <br /> LJ.X CONTINUOUS ELEICTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: G,-UDC,—C, M51. MODEL#: (/w2_ Msz. <br /> -LEAK SENSOR MANUFACTURER: ye�`V gai;�:T M53. MODEL#(S): ` M54. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ,�--,,te�a.YES El b.NO Mss. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? L�7 aa.YES ❑ b.NO "' <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? Ej a.YES ❑ b.NO Mss <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: M"- MODEL#(S): M59. <br /> M60. <br /> ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) <br /> ❑ 4.NO DISPENSERS <br /> M61. <br /> ❑ <br /> 99.OTHER(Specify) <br /> VII. ENHANCED LEAK DETECTION <br /> C] 1.WE HAVE BEEN 140TIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK Myo. <br /> DETECTION(ELI:,)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFOR.%IED EVERY 36 MONTES AS REQUIRED <br /> VIII. TRAINING <br /> REFE NCE DOCUME14TS MAINTAINED AT FACILITY(Check all that apply) Mao. <br /> 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. [—�/THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. L7 CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLbCATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" Msi. <br /> 99. ❑ OTHER(Specify): <br /> Personnel with UST moni-:or ng responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> 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 leak detection equipment. <br /> ➢ The facility employee's role with regard to spills and overfills. <br /> ➢ Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): M85. <br /> TYPE OF OVERFILL PREVENTION= <br /> bPtv �LA � � �ALv� <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF 1/1/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION— <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715 <br /> XI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. M91. <br /> OWNER/OPERATOR SIGNATUREREPRESENTING DATE:—/J _ <br /> C&Owner M9o. <br /> ❑Operator <br /> M92 M93. <br /> OWNER/OPERATOR NAME(print��� OWNE PERATOR TITLE: <br /> JC) S CtLL <br /> (Agency Use Only) This plan has been reviewed and: )O--Approved ❑Approved With Conditions ❑Disapproved <br /> Local Agency Signature: /�� J Date: <br /> Comments/Special Conditions: <br /> 07/23/03 <br /> SJCEHD-d(07/03)-3/4 <br />
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