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COMPLIANCE INFO_2010-2015
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2010-2015.tif
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- Pae 1 of 2) <br /> TYPE OF ACTION ❑1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490'1 <br /> PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) [12.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) I <br /> BUSINESS NAME(Same as FACILITY NAME) 3. <br /> BUSINESS SITE ADDRESS (�(�(� 1)1701 S�f}GC /J.-3 Q 103. CI11, 1006. <br /> H EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 23 CCR 2632 2634,2638,2641 <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER 490-3a <br /> (Specify): 490-36 <br /> .MONITORING LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)49o-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> [911.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 490.5 <br /> VAULTS)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490.6 <br /> PANEL MANUFACTURER: ti 490-7. MODEL#: 71-1- v 490.8 <br /> LEAK SENSOR MANUFACTURER: air 490-9 MODEL#(S): 490-10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKM,(23 CCR§2643) 490.11 <br /> PANEL MANUFACTURER: 490'12. MODEL#: 490-13 <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490.17 <br /> PROGRAMMED TESTS: Ela.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490618 <br /> 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490.21 <br /> 490-22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49x24 <br /> 490-25 <br /> ❑ <br /> 99.OTHER (Specify): 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) ,� <br /> SECONDARY CONTAINMENT IS:paa.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> PANEL MANUFACTURER 29 C YJ 49030 I MODEL#: %G� S Z 490-31 <br /> LEAK SENSOR MANUFACTURER: 49032 1 MODEL#(S): -3 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. )-R a.YES ❑b.NO 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑b.NO 49035 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 gp h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 26 490.36 <br /> MLLD MANUFACTURER(S): �. # FYI 49037 MODEL#(S): L�ZQL)/J49-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> ELLD MANUFACTURER(S) 41 MODEL#(S): 490-41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 <br /> ❑ 4.PIPE INTEGRITY TESTING 49o-45 <br /> TEST FRE UENCY 0 a.ANNUALLY 0 b.EVERY 3 YEARS c.OTHER(Specify) 490-46 490.47 <br /> El 5.VISUAL PIPE MONITORING. 490-48 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490.49 <br /> Allowed for mfitoring of unburied anergency generator fuel piping only HSC 25281.5 3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1• 490,50 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490.51 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 490.53 <br /> UPCF UST-D(12/2007)1/4 <br />
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