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COMPLIANCE INFO_2008-2011
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COMPLIANCE INFO_2008-2011
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Last modified
3/29/2021 4:28:20 PM
Creation date
6/3/2020 9:45:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2011
RECORD_ID
PR0231129
PE
2361
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231129_3202 W HAMMER_2008-2011.tif
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EHD - Public
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r <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN (Page 2 of 2) <br />VI. UNA I 1 SSP" 1VSER : ONTAINMEliiT.(UDQ} KQ ITORING <br />1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br />ago-sab <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING )34. FLOAT AND CHAIN ASSEMBLY ❑ 3. ELECTRONIC STAND-ALONE <br />❑ 4. NO DISPENSERS ❑ 99.OTHER (Specify): <br />PANEL MANUFACTURER: �� ` 490.55 MODEL #: 490-56. <br />LEAK SENSOR MANUFACTURER: 490.57 MODEL #(S): 490-58 <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 Q b. NO 4go.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 />2. UDC CONSTRUCTION IS SINGLE-WALLED ❑ 2. DOUBLE-WALLED 490-63 <br />IF DOUBLE WALLED: 490-64a <br />_UDC INTERSTITIAL SPACE IS MONITORED BY: El 1. LIQUID_ ❑ 2. PRESSURE ❑ 3. VACUUM <br />A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a YES Q b. NO 490.64b <br />YIL PERIODIC: SYSTEM TESTING <br />r <br />Lj 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. <br />LEAK DETECTION (ELD) MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RESUIRED. (23 CCR §2644.1 <br />® 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. _ 490.66 <br />3. SPILL BUCKETS ARE TESTED ANNUALLY. 490.67 <br />VIIC1DI�D1'E�PIN{Y .....,w <br />The following monitoring/maintenance records. <br />are kept for this facility: <br />® Alarm logs 490-baa ® Visual Inspection Records 490.68b Q Tank integrity testing results 490 m <br />❑ SIR testing results (and supporting documentation records). 49"8d ❑ Tank gauging results (and supporting documentation records). 490.68e <br />❑ ATG Testing results (and supporting documentation records). 4go-68f ❑ Corrosion Protection 60-day logs 490-6sa <br />❑ Equipment maintenance and calibration records. 490-M <br />® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) <br />® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 490.696 <br />® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 490.69. <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69. <br />❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION' 490.69f <br />❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.698 <br />❑ OTHER (Specify): M69k m6% <br />This facility has a "Designated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council (ICC). <br />The "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems annually, and within 30 days of hire. This <br />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 />A The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br />➢ Names of contact person(s) for emergencies and monitoring alarms. 490.70 <br />.•...COI�LTS/ADDITI777777 <br />ONAi, <br />c..; - ; <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 />Tank Overfill Prevention: Mechanical flappers set at 95% <br />z rz XI PERSONNEL RESPONSIB IES <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 by <br />this plan occurs, 2) all conditions that indicate a possible release are investigated, and 3) all monitoring records are maintained properly. <br />The following person(s) are responsible for performing the monitoring and equipment maintenance: <br />! NAME Store Manager 490-72 TITLE Store Manager 490-73 <br />NAME Kent Cain 480-74 TITLE District Manager 490.75 <br />The Designated 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 />�<. <br />kY ,...., :XII.OWNER/OPERATQ�R,;SIGNATI7R1'; r: <br />CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br />APPLICANT SIGNATURE 490.96 DATE: 490-77 <br />5/8/08 <br />REPRESWTING- <br />Tank t 'lu / t ❑ 3. 'v <br />APPLICANT NAME (print): 490-79 APPLICANT TITLE: 490'79 <br />Stephen Boyd HSE Specialist <br />UPCF UST-D (12/2007) 3/4 <br />
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