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COMPLIANCE INFO_1997-2012
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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
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231333_236 N HAM_1997-2012.tif
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EHD - Public
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MP'UNIFIED PROGRAM CONSOLIDATED FOR W-- <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> El 1.CONTINUOUS ELECTRONIC MONITORING El 2.FLOAT AND CHAIN ASSEMBLY 0 3.ELECTRONIC STAND-ALONE 490-54b <br /> 0 4.NO DISPENSERS-------❑E199--OTHER-(Specify):------ --—-----— —-------- <br /> PANEL MANUFACTURER: ------------------------------------------------------------------ 490-56. <br /> MODEL#: <br /> -------------- <br /> -- ------—-----------—----- --------------------- <br /> LEAK SENSOR MANUFACTURER: 490-57 --MO 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES El b,NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN a.YES ❑b.NO 490-60, <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 2'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 FIESINGLE-WALLED E12.DOUBLE-WALLED 490-63 <br /> IF DOUBLE WALLED: 490-64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: EILLIQUID E12.PRESSURE M3.VACUUM <br /> -----------------—-----------------------------------—-------------------------------------- <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS El a YES El b NO 490-64b <br /> VII.PERIODIC SYSTEM TESTING <br /> El I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, <br /> -------LEAK DETECTION MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQU-I-RED.-(2-3 CCR '2644 l)—------------ <br /> ❑2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS, 490-66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. - - ----------------------------------------------------------------------------------------ago-67 <br /> VIII.RECORDKEEPING <br /> The.following monitoring/maintenance records are kept for this facility: <br /> 4"Alarm lags 490-68a ;3-Visual inspection Records 490-686ank integrity testing results 490-6ft <br /> ❑ plf <br /> SIR testing results(and supporting documentation records). 490-68d Tank gauging results(and supporting documentation records). 490-68e <br /> ❑ATG Testing results(and supporting documentation records).490-68f ❑ Corrosion Protection 60-day logs 490-68g <br /> Equipment maintenance and calibration records. 490-68h <br /> IX.TRAINING <br /> E]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)490-69b <br /> 0 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-6% <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION. "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490-69f <br /> El SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g <br /> 0 OTHER(Specify):M69h,M69, <br /> El This facility has a"Designated LIST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated LIST 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 LIST 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 UST Response Plan <br /> > Names of contact person(s)for emergencies and monitoring alarms.490-70 <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 /> mer-k- Nct r sxf a, qs� au <br /> XI. PERSONNEL RESPONSIBILITIES <br /> The UST Owner Operator in f, <br /> i;esponsi eor ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> .,. th indicate <br /> this plan occ rs 2)all co tn a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> a 'Z for <br /> The followi erson(slr pjonbL_performing the monitoring and equipment maintenance: <br /> NAME 490-72 TITLE 490-73 <br /> NAME 490-74 TITLE 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 /> XII.OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE 490-76 DATE: 490-77 <br /> REPRESENTING 171 I.Tank Owner/ftrator F12.FaciliVO"er/Operator [:13 Authorized RepreLe_ntativeofOwner <br /> APPLICANT NAME(print): 490-78 490-79 <br /> APPLICANT TITLE: <br /> UPCF UST-D(12/2007)3/4 <br />
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