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COMPLIANCE INFO_1999-2009
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PR0231497
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COMPLIANCE INFO_1999-2009
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Last modified
5/23/2024 2:11:22 PM
Creation date
6/3/2020 9:50:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2009
RECORD_ID
PR0231497
PE
2361
FACILITY_ID
FA0000279
FACILITY_NAME
ESCALON MINI MART
STREET_NUMBER
1097
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22510001
CURRENT_STATUS
01
SITE_LOCATION
1097 YOSEMITE AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231497_1097 YOSEMITE_1999-2009.tif
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EHD - Public
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SAN JOAQIWOUNTY ENVIRONMENTAL HEALTHOPARTMENT <br />UNDERGROUND STORAGE TANK <br />• MONITORING PLAN - PAGE 1 <br />TYPE OF ACTION 4L 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />Mol. <br />PLAN TYPE El MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />Moz. <br />(Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. "FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) ' -" '--' <br />�,I <br />FACILITY NAME CSC/11/01/ M / /V f 1' � T <br />Moa. <br />FACILITY SITE ADDRESS �� E_ CIS / M / 7E • A v� Moa. <br />MOS. <br />II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br />State law requires that testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed in <br />Mob. <br />accordance with the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. <br />1. ANNUALLY ❑ 99. OTHER (Specify):M07.MONITORING EQUIPMENT IS SERVICED <br />III. MONITORING LOCATIONS <br />This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, <br />line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification <br />form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this plan. <br />IV. TANK MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) <br />Mlo. <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS:X a. DRY Elb. LIQUID FILLED ❑ c. UNDER PRESSURE [Id. UNDER VACUUM <br />MI I. <br />PANEL MANUFACTURER: E- /,a W M12 MODEL #: <br />M13. <br />Mls. <br />M14.MODEL #(S): <br />LEAK SENSOR MANUFACTURER: �` <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl <br />PANEL MANUFACTURER: MIS. MI6. MODEL #: <br />MIT <br />M19. <br />MIs. MODEL#(S): <br />IN -TANK PROBE MANUFACTURER: <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS 11b. DAILY/NIGHTLY ❑ c. WEEKLY0 <br />El d. MONTHLY [Ie. OTHER (Specify): M21. <br />M22. <br />PROGRAMMED TESTS: Ela. 0.1 g.p.h. El b. 0.2 g.p.h. El c. OTHER (Specify): <br />M23. <br />❑ 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 [:1b. STATISTICAL PER 23 CCR §2646.1 <br />M24. <br />WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />14. <br />TESTING PERIOD: F1 a. 60 HOURS a. 36 HOURS ❑ <br />MzS. <br />❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 <br />M26. <br />M27. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): <br />❑ 6.VISUAL MONITORING DONE:a. DAILY ❑ b. WEEKLY (Requires agency approval) <br />Mzs. <br />❑ 99. OTHER (Specify): <br />V. PIPE MONITORING <br />M3°. <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />SECONDARY CONTAINMENT IS`:a. DRY [Ib. LIQUID FILLED El c. UNDER PRESSURE El d. UNDER VACUUM <br />M31. <br />PANEL MANUFACTURER: N�, M32. MODEL #: <br />�' L <br />M33. <br />Mas. <br />LEAK SENSOR MANUFACTURE R 4 yr Mia. MODEL #(S): C,�P <br />Elb. NO <br />M36. <br />W <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDON? a. YES <br />WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a. YES ❑ b. NO <br />M37. <br />-rA 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS <br />OFF <br />PRODUCT FLOW WHEN A LEAK IS DETE �E ` Mas. #(S): S <br />M39 <br />MLLD MANUFACTURER(s): MODEL <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS <br />Mao. MODEL #: <br />ELLD MANUFACTURER: <br />M41. <br />M42. <br />PROGRAMMED LINE INTEGRITY TESTS: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. <br />W <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN. 11 YES [Ib. NO <br />Mai. <br />WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO <br />Moa. <br />❑ 4. INTEGRITY TESTING M45. M46. <br />TEST FREQUENCY: a. ANNUALLY [Ib. EVERY 3 YEARS [I c. OTHER (Specify) <br />rrr❑rrrs <br />❑ 5.VISUAL MONITORING DONE: . DAILY El b. WEEKLY' El c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED" <br />• Requires agency approval " Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281.5(bx3) <br />M47. <br />❑ 6. PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR §2636(a)(3) <br />❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br />Mas. <br />07/23/03 <br />SJCEHD-d (07/03) -1/4 <br />
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