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COMPLIANCE INFO_1999-2010
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_1999-2010
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Last modified
4/7/2021 10:42:38 AM
Creation date
6/3/2020 9:56:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2010
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_1999-2010.tif
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EHD - Public
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09/26/2003 10:17 20946831 FIFTH FLOOR PAGE 02 <br /> 4 SAN JOAQUIN COUNTY KWM0NMENTAL HEALTH DEPA R M=T <br /> UNDERGROUND STORAGE TANK <br /> MQ TURING FLAN-PAGE I <br /> TYPE OF ACTION ❑ .NEW PLAN 2.CHANGE OF INFORMATION Mos. <br /> PLAN TYPE MOMTOAING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ate± <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> E0 R-1 <br /> FACILITY 117#(Agency Use Only) <br /> FACILITY NAME <br /> FACILITY SITE ADDRESS a�Q Oki, / 6' <br /> Ulm1�k.. _ Jx ii Irl;•.:<.iil.�:,.•. <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g,sensors,probcs,line leak detectors,etc)be petfmmed in awe. <br /> accordance with the equipment manufacturcTS'instructions,or annually ichcver is mote frequent. Such work must be part ancd by qualified persontml <br /> MONI.1'ORL\G EQUIPMENT IS SERVICED L ANNUALLY ❑ 99-OTHER(Spec*)' <br /> .5,1.,r.:>.;-:is' .. .;....-r..::4'::-:•:•:^.':1:1Y::i�:�DY.•.:..,•r '.`,pis :� *�,,{{(� //''11 17.'.:j 1'�r .rf.r <br /> This monitoring plan trust include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each ncnsor, <br /> line leak detector,monitoring system Control panel,etc.). If you already have a diagram(e.g_,currrm LIST Monitoring Site Plan from a Monitoring System Certification <br /> form,I•Iazard=Matcdals Business Plan ,etc.)which shows a] required.information,include it with this plan. <br /> ... .,, r.... ..... ......::....r._r:.•' '+� - �-i. ,.r, -'t" :,> KJ:•_.,: iii. <br /> ..v r..- .... . ...:..i .. ... .i•.e. . ,. ..:..1• -.fin._>.c.r S.�:I4�'- <br /> , <br /> that <br /> M 1TORING IS PERFORMED USING THE FOLLOWING METHOb S Chock all apply) t <br /> 1.CONTINUOUS ELECTRONIC MONITORING 0 TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS L,td a.DRY ❑ b-LEQt3lb)FILLED ❑ c.UNDER PRESSURE © d. UNDER VACUUM Mt l <br /> PA:3ELMANUFACTURI:R B M12. MODEL#: bii3. <br /> LEAK SENSOR MANUFACTURER 4a RveEMia. MODEL#(S): O M15. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR$INGLE WALL TAVK(S) <br /> PANEL MANUFACTURER M'& MODEL#: M'7' <br /> RV-TANK PROBE MANUFACTURER: Mla' MODEL#(S): M19. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b_DAILY/NIGHTLY ❑,c.WEEKLY Ito. <br /> ❑ d.MONTHLY ❑ e-OTHER(Specify): M21. <br /> PROGRAMMED TESTS: ❑ a.0.1 gp.h. ❑ b.0.2 g p-h- ❑ c.OTHER(Specify): MIA M23. <br /> [] 3,INVENTORY RECONCILIATION ❑ a-MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR$2646.1 M:a. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: j:3 a.36 HOURS ❑ br 60 HOURS acs. <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b•BIENNIALLY ❑ e-OTHER(Specify): <br /> [I &VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY Ems-w-y-a--D <br /> ❑ <br /> 99.OTHER(Specify): ace. <br /> .. I <br /> . PIPE MONYTflRYNG�• �:i' �',t:r <br /> M9jWORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M1° <br /> 11� 1.CONTINUOUS-ELECT'RONIC MONITORING 0j;,MI 3G SUMP(S)rTRENCH(ES)AND OTHER SECONDARY CONIANMENT <br /> SECONDARY•CONTAINMENT�: a-DRY ❑ b-LIQUID FILLED [] c.UNDER PRESSURE -d.UNDER VACUUM avt' <br /> PANEL MANUFACTURER- AIC O I'"- MODEL 9: 7a <br /> LEAK SENSOR MANUFACTURER Gfi/OG+e MODEL i".(5): © ams <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ b.NO M36. <br /> WILL FAILURk DMCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN?, a YES ❑'b-NO <br /> ❑ 2.MECHANICAL LINE LEAK OETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g-p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DEECTED <br /> MLLD MANUFACTI)RER(s): Its MODEL#(S): _ act9. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(F-LLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER Mao MODEL 9: at". <br /> PRAGRAMMED LINE INTEGRITY TESTS: ❑ a.MINNUM MONTHLY 02 g_p.h. ❑ b•MINIMUM ANNUAL 0.I gp.lL tom" <br /> WILL ELLD DETECTION Of A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO <br /> WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 5144 <br /> ❑ 4.INTEGRI lY TESTING <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c-OTHER(Specify) Mss. �u5 <br /> ❑ 5.VISUAL MONITORING DONE: ❑ a DAILY ❑ b.WEEKLY* ❑ C.MIN-MONTHLY&EACH T24E SYS XJk A OPERATID'` D,147 <br /> •Rt Pies agcy app-vw -Mlowid Ter�mod!W fig Dfuebt r =ffsa gy aencatoe fad PI&S only pu MC 125281-SOX3: <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL R-8QUIRE MNTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) <br /> ❑ <br /> 7.N0 PRODUCT OR REMOTE FILL PIPING IS COPNECTED TO THE UST(s) <br /> ❑ <br /> 99.OTHER(Specify) - . Mos <br /> SWEtm-d rmin;i-vd <br />
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