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COMPLIANCE INFO_1997-2012
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2300 - Underground Storage Tank Program
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PR0231333
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COMPLIANCE INFO_1997-2012
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Last modified
9/24/2024 2:31:42 PM
Creation date
6/3/2020 9:46:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997-2012
RECORD_ID
PR0231333
PE
2361
FACILITY_ID
FA0003711
FACILITY_NAME
LAKEWOOD CHEVRON
STREET_NUMBER
236
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03710028
CURRENT_STATUS
01
SITE_LOCATION
236 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231333_236 N HAM_1997-2012.tif
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EHD - Public
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02/13!2007 02:14 #0976 P.002 /003 <br /> — IT <br /> UNIFE D PRo(;RAtMt CONS01ADATE6FORM <br /> 17"ftGROUND STORAGE TANK <br /> MONITOIt>YNG PLAN- I of 2) <br /> TYPE OF ACTION ❑I NEW PLAN ❑ 2.CHANGE OF INFORMATION 4901 <br /> PLAN TYPE (] I.MONITORING IS IDENTICAL FOR A),L USrrs AT THIS FACILUTY. iso y <br /> (Chock ow item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYS-TEM( <br /> I. FACILITY INFORMATION <br /> FACILITY ID 0(Agency U.rs Only) <br /> - - t <br /> )BUSINESS NAME(Same as FACILfIY NAME) j - 3. <br /> BUSINESS SITE ADDRESS � TY_ ia3.7'] CITY f. <br /> AL EQUIPAM NT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive rnwniemnce,and Ctitebration of mOAitoring equipment(c g. sensors,probes.Iine cak;�d0eCtvrs,etc.)must be perroarrrod at the frnquerroy <br /> specified by the equipre�t rnanuractarets'instructionS,or annuatty,whidwm is more frequent,and that such work mugs pa formed by qual,fied personnel. <br /> 23 CCR 26 2634 2638 2,641 <br /> MONITORING EQUIPMENT IS SERVICEbJLf' ANNUALLY ❑ 99.OTHER(Specify): 49444 <br /> Ill.M OIYITOI2ING LOCATIONS am.36 <br /> iLj t.NEW SI'Z'E PLOT FI,AmMAP SUBMITTED WIT Id T IIS PLAN. ❑2.SFd'(6 PLOT PLAN/MAP PREV IOUSLY SUBMY[ <br /> 2634 I'l;D (23 CCR§2632 <br /> 9aa <br /> IV.TANX MONffOMG IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> F.CONTMOUS ELECTRONIC TANK MONITORING OR ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTMINrKBNT 490.5 <br /> VAULTS)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> ---SECONDARY CONTAINIENT IS: tT a.DRY Cl b.LIQUID FILLED Q c.PRUSSURIZED ❑d UNDER VACUUM 490.6 <br /> -- -- u- <br /> �--PANEL MANUFACTURER. _ V e x- rao_T `Wf i MODEL 400-S <br /> -" "��� _< 8 <br /> LEAK SENSOR MAAiUFACTE)RFR MODEL#(S).- t.l 0-7 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USkD TO MONITOR SING <br /> I.R WALL TAN (23 CCI2§2643) < ,} <br /> PANEL MANUFACTURER: ago r2 <br /> - MODEL#: 490-13 <br /> ...,........_. _...,..___._..__......_.. <br /> IPI-TANK PROBE MANUFACTURER. gra• _ - _-"o-is <br /> __,. ..--- �....:..,. -»... - ........,�� ____MODEL AS): _ <br /> LEAK TESTFRBQUF.NCY a.CONTINUOUS ❑ D DAILYINIGHTLY� —_ -jJ'+ c.ww1;KLY .... ._-a9ai6 <br /> - _-- <br /> ---- -_ {�d MONTHLY ` ER(S s <br /> _...e OTH_. <br /> PROGRAMMED TESTS: ❑8.0.1 g.p.h. ❑ b.02 g.p.h. ❑ c.OTHER(Specify): +sio is <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(z3 CCR§2646.1)z 490620 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2644 TESTING PERIOD: <br /> ® a.36 HOURS ❑ b.60 HOURS 490-21 <br /> [1 S.TANK INTEGRITY TESTING(23 CCR§2643.I): 490-22 <br /> TEST FREQUENCY*, ❑ A ANNUALLY ❑ b.BIENNIALLY ❑ c.CATER(Specify); 49OZ4 <br /> 490-7S <br /> ❑99,OTHER (Spcctfyj 49046 <br /> 4904V <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) <br /> t.CONTINUOUS MONITORING OF PIPF.2 PIPING SUMPS)AN1)OTHER SECONDAR V CONTAINMENT WITH ACIUIBLE AND 490 is <br /> VISUAL ALARMS. (Z3 CCR§2636) <br /> S$CONDARY CONTAINMENI'IS:F!!fa.DRY ❑b.LIQUIO FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM <9029 <br /> PANEL MANUFACTURER: �� 490-30 I---- - - 3r <br /> ���� � <br /> MODEL _�� - e� <br /> - .-_........ <br /> LEAK SENSOR MANUFACTURER:`�� ie�. '�2 MODEL -� - 490.2; <br /> PIPING LEAK ALARM TRIGGERS AU TOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a YES ❑b.N4 <br /> MILURMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. feTa.YES ❑b.NO 49045 <br /> 2,AM$CHANICAL LINE LEAK DETECTOR(MU.D)THAT ROUTINELY PERFORMS 3.0 g.p.h.I,RA K 1-ESTE ANI}RESTRICTS OR SHUTS OFF <br /> PRODUCT <br /> FLOW WHEN A LEAK IS DETECT <br /> ---.. ----•--•---.......---.._----"......__ ...,._..__—• {90,36 <br /> MLLD MANUFAC I)RER(S): S F >Fa m C 0-r MODI"t,$(S: 30, <br /> -- �c�J1 <br /> ❑ 3.13LECfRONIC LINE LEAK D&TM)OR(ELLD)THAT ROUTINELY INELY PERFORMS 3®V p,$.LEAK TFS3 S (23 CCR§2636) 460 39 <br /> ro.._ <br /> ELLD MANUFACTURHR(S) .. 4�4' i MODEL ft(S): 990.0 <br /> PROGRAMMED IN LINE LEAK TEST• ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0 1 gp.h. 490'42 <br /> ELLD DETECTION Oft A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑R.Y6S Cj b.NO 3 <br /> ELLD FAiLUREIDISCONNFCTION TRICiGE3RS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49046 <br /> .PIPE INTEGRITY TV--iNG 496.45 <br /> TEST FRE U6NCY. .ANNUALLY El b.EVERY3YEARS Q e.OTtifR 490-464"47Spexify) 490-464"47r�5 VISUAL PIPE M vi-DRING. 4 <br /> FREQUENCY ZI a.DAILY ❑ b.WEEKLY ❑C.MIN.MOPR'HLY 86 BACII TIME SYSTFM OpSRKfED' <br /> AA0Mdf C m•un6f starPst ' ' oil NgC 28l. _ <br /> ❑ 6•SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§26Wa)(3)I- � <br /> f❑ 7.NO RF.GUI.AT190 PIPING PER HEALTH AND SAFETY CODE.DIVISION 2Q CIIAPTER 6.7 IS CONNECTED TO THE TANIc SYStEM <br /> e9ast <br /> ❑ 99.011 HER(Specify) w_ , <br /> 990 57 <br /> ()PCI<U$I'-D(IZI=7)114 <br />
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