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2300 - Underground Storage Tank Program
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PR0231223
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BILLING_PRE 2019
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Entry Properties
Last modified
12/16/2019 4:25:53 PM
Creation date
12/16/2019 3:24:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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...•.. .u✓ • taV Vtaal rJ <.V1ruV L!!lA!l...L 1'V1\l.! <br /> UNDERGROUND STORAGE TAN <br /> MONITORING PLAN — (Page - 2 <br /> VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING Vhecka/ <br /> hot ap,01V <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING ® 2.FLOAT AND CHAIN ASSEMBLY. ❑ 3.ELECTRONIC STAND-ALONE 490-54& I <br /> ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-sab. <br /> LEAK MONITOR MANUFACTURER:Bravo 490-55 MODEL#: 490.56 <br /> LEAK SENSOR MANUFACTURER: 490-57 MODEL#(S): 490.59 ' <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES b.NO 490-59. <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ;] a.YES 1R b.NO 490-60 <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ; , a.YES b.NO 490.61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑ b.NO 490 62. <br /> . <br /> UDC CONSTRUCTION 1S: ® I.SINGLE WALL (:12.DOUBLE WALL 490.63. <br /> DOUBLEIF WALL: <br /> ago-644. <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 190-64b- <br /> TESTING: S`�''STEM TESTING <br /> 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65 <br /> I MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.123 C.CR 2644.r <br /> i <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-6a. <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.67. <br /> VIII. RECORD KEEPING <br /> The following monitoring/maintenance records are kept for this facility: 490-6e. <br /> ® a.ALARM LOGS ® b.VISUAL INSPECTION RECORDS ® c.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.E UIPMENT MAINTENANCE AND CALIBRATION RECORDS 1 <br /> IX...TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 4W6.9a. <br /> ;h REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490.69b. <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 49D-69c. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69e. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49a69r <br /> STATISTICAL INVENTORY RECONCILIATION" ! <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.698. <br /> ❑ OTHER(Specify): 490.69h. <br /> 490-69; <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 4W711 <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 /> 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. 490-71. <br /> Drop Tubes with Mechanical Flapper Valves are set at 95%. Discriminating sensors . <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 /> b�his plan occurs;2.1 all conditions that indicate epossible release are investigated;and 3.)all monitoring records are maintained roper — <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: Hung Thanh Tran 490.72. TITLE:Owner 490-73: <br /> NAME: 490.74. TITLE: 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. O:WNER/OrERATOR SIGNA'T'URE <br /> CERTIFICATION: I certify that the.information provided herein is.true and accurate to the best of my knowledge. <br /> ow APPLICANT SIGNATURE I DATE: 490-r. <br /> 8/24/2049 <br /> REPRESENTING: 1 Tank Owm/OperamirWil.Fa it net &tor 3.Authorized relentative of 0 t 490-76, <br /> APPLICANT NAME(print): tl 1 ? G/"l( v ( Cjc 490-76 APPLICANT TITLE: 490.79. <br /> Hung I'fianh ran Owner/Op ra r <br /> UPCF UST-D(12/2007)-3/4 eetdo 0 <br /> L—O Lei ,! c�aene•v �:OA n�+�,� � h �'�rGYl�--- � � l�7 �e1 <br />
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