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2300 - Underground Storage Tank Program
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PR0231433
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BILLING_PRE 2019
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Last modified
8/8/2022 4:16:57 PM
Creation date
2/18/2020 10:05:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231433
PE
2361
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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May 1109 03:48p MVP Petroleum Engineering 916-984-1117 p.6 <br /> UNIFIED PROGRAM CONSOLmATED FORRI <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN—(Page 2 of 2) <br /> VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORI G. (Check all <br /> rat ) <br /> UDC MONITORING IS PERFORMED USING THE FOLLO WING MIIOD(S) <br /> �.1.CONTINUOUS ELECTRONIC MONITORING P9 2.FLOAT AND CEAIN ASSEMBLI 3.ELECTRONIC STAND-ALONE 490-54i <br /> ❑ 4.NO DISPENSCRS ❑_99.OTHER(S cify) 490.54b. <br /> LEAK MONITOR MANUFACTURER 490-33 MODEL#: �j °9°s6. <br /> LEAK SENSOR MANUFACTURER (t 'A `90-37. MODEL#(S): Q Ze 499-5s. <br /> DETECTION OF A LL-AK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ig a.YES ❑ b.NO 490--9- <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. S a.YES ❑ b.NO 5900 <br /> FAILUREIDiSCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. IR a.YES ❑ b.NO 4904r. <br /> UBC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑ b.VO +90'62 <br /> ------ --- .....- -..__.......__....----- -- -- -•---..._._..------ —___- <br /> UDC CONSTRUCTION IS: I.SINGLE WALL ❑ 2.DOUBLE WAIL 490-0 <br /> IF DOUBLE WAIL: a90.64a <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 /> V1I. PERIODIC SYSTEM TESTING <br /> I.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY TILE SPATE WATER RESOURCES CONTROL BOARD THAT EM-7ANCED 490-65_ <br /> LEAK DETECTIM,(EI—Q)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.lzo ccs g2644.r <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49x66- <br /> 0 3.SPILI,BUCKETS ARE TESTED ANNUAI.LY. 490.67. <br /> VIII. RECORD KEEPING <br /> The following monitoring/maintenance records are kept 1'or this facility: 490.69. <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 U I PMENT 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: 49eu9: <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-(Y9f;. <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUI PMFNT(Required) 490.69c. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS IONS 490-Od <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 499-69[ <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> ❑ SWRCB PUBLICATION:-UNDERSTANDING AUTONLAITCTANK GAUGING SYSTEMS" 490•6% <br /> ❑ OTHERiSpeciry): 490-69a. <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 490-70- <br /> (ICC). The "Designated UST Operator will train faciliry 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 ofthe 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 theility's UST Response Plan. <br /> Name(s)ofcontact person(s)for emergencies and monitoring Warms. <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pees with additional information on specific monitoring procedures are attached to this plan. 490-71. <br /> Ae- <br /> XI. PERSONNEL RESPONSIBILITIES <br /> The UST Ownen'Operator is responsible for ensuring that: l.)the daily/routine UST monitoring activities and maintenance of UST leak detecdon equipment covered <br /> by_dtis�lan <br /> 2,Jail conditions that indicate a possible release are investigated;and-3.)all inonitot:nirecords are maintained proocert_r,_.__-_ <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: 490-72. TITLE: 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 ownerloperator of any <br /> conditions that need follow-up action. <br /> XII. OWNER/OPERATOR SIGNATURE t <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE. DATE: 490-77. <br /> REPRESEYIItiG: 1.7•ankownerG orator 2.Fatili Ownor/ 5rIWC �-AurtatiudR esentmdseorOw= 490.76 <br /> APPLICANT NAME(print): 4W7.3 <br /> APPLICANTTITLE: 490-79, <br /> UPCF UST-U(1212007)-3/4. www.unidocs org <br />
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