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COMPLIANCE INFO_2010-2018
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2300 - Underground Storage Tank Program
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PR0515365
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COMPLIANCE INFO_2010-2018
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Last modified
7/11/2023 3:11:49 PM
Creation date
6/3/2020 9:59:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0515365
PE
2361
FACILITY_ID
FA0012107
FACILITY_NAME
A TEICHERT & SON INC*
STREET_NUMBER
120
STREET_NAME
FRANK WEST
STREET_TYPE
CIR
City
STOCKTON
Zip
95206
APN
19342006
CURRENT_STATUS
01
SITE_LOCATION
120 FRANK WEST CIR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0515365_120 FRANK WEST_2010-2018.tif
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EHD - Public
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i i <br /> UNIFIED PROGRAM CONSOLIDATED FORM <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 /> 490-54b <br /> i.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑ 4.NO DISPENSERS 1199. ecify): <br /> PANEL MANUFACTURER: t a90-ss MODEL#:"(1'S-1 ) 490-56. <br /> LEAK SENSOR MANUFACTURER: Iktjkr Red 490-57 i MODEL#(S): 2 490.58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS Is a.YES ❑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. ,!�,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,K.SINGLE WALLED ❑2.DOUBLE-WALLED 490.63 <br /> IF DOUBLE WALLED: 490-64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: E3 1.LIQUID Q 2.PRESSURE 0 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490.641 <br /> VII.PERIODIC SYSTEM TESTING <br /> I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, <br /> LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR§2644.1 <br /> 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490.66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY, 490.67 <br /> VIII.RECORDKEEPING <br /> Th following monitoring/maintenance records are kept for this facility: <br /> Alarm logs 490-68a ❑Visual Inspection Records 490.68b ❑Tank integrity testing results 490.68c <br /> ❑SIR testing results(and supporting documentation records). 490.69d ❑ Tank gauging results(and supporting documentation records). 490-6s. <br /> ❑ATG Testing results(and supporting documentation records).490a8f ❑ Corrosion Protection 60-day logs 490.688 <br /> •Q4quipment maintenance and calibration records. 490.68h <br /> IX.TRAINING <br /> ,Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br /> REFNCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490.696 <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49"9c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69e <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490.69E <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-698 <br /> ❑ OTHER(Specify):M6911,M69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> Th "Designated UST 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 UST 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. COMMENTNADDITIONAL INFORMATION <br /> Provide additional cqmments h re or indicate how many pages with additional information on peritc monitoring procedures are attached to this plan.490-71 <br /> (�tler�tll 0.1mc1n �� gasA,ne.— etucUlt -ii- tura <br /> a ese — f uJue on ;11 ple <br /> M.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The following persons)are res?nsible for performing the monitoring and equipment maintenance- <br /> NAME <br /> NAME (� 49x72 TITLE u. eci LI1 mtrr 490.73 <br /> NAME 6- g ter` 49o-74 TITLE D 490.75 <br /> The Designated Operatorhall 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 SIGN URE 490-76 DATE: 490-77 <br /> & ENT Tan� e'10, <br /> / rotor ?Faci itv Own d o 3.A fh ri e resentative of <br /> 610'e <br /> APPLICANT NAME_(ppnt): 490-78 APPLICANT TITLE: 490-79 <br /> eu X11 "alneAuA (� _ ` r6 4ry �� l,1ft f <br /> UPCF UST-D(12/2007)3/4 0-p proo d 10 v/(V�I VV�� Ve <br />
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