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COMPLIANCE INFO_2008-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_2008-2018
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Last modified
3/8/2023 3:48:09 PM
Creation date
6/23/2020 6:49:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2018
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231547_13850 N DE VRIES_2008-2018.tif
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EHD - Public
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UNIFILD FRLH-iiHAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Pae 102), <br /> TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION "i 17w%490-1 <br /> 49ai <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 0-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(Sa: <br /> I. FACILITY INFORMATION 0i ri <br /> FACILITY ID#(Agency Use Only) i 1 <br /> BUSINESS NAME(Same as FACILITY NAME)MCO, dba, `/eriZOli Business I <br /> SAN Jt3&40N(OUNTY <br /> BUSINESS SITE ADDRESS 13850 N.DeVries Road 103. CITY Lodi 6�AM N NTAL 1oa. <br /> H.EQUIPMENT TESTING AND PREVENTIVE MAINTENAN <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 /> �r(23 pCCR§263212634,26381Mill-,----------- ----- ----- <br /> -- <br /> MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY ❑ 44.OTHER,(Specify): 440 3b <br /> III.MONITORING LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 112.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)4944 _- <br /> _ IV.TANK MONITORING IS_PERFORMED USING THE FOLLOWING METHOD(S): <br /> (.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.3 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 440-6 <br /> -----------__---•--------__.--�-____- __________ --___-_______--_----.____.»... I...___.______---_-__--------- ---- ' <br /> PANEL MANUFACTURER: PfleUrnercator 490.7. 1 MODEL#: TMS2000 -----_-____-490.8 <br /> LEAK SENSOR MANUFACTURER: PI1eUITlefcatOr 4449' MODEL#(s): LS610 49410 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKtS).(23 CCR§2643) 490.11 <br /> 490-12, 490-13 <br /> PANEL MANUFACTURER: MODEL#: <br /> ----.-----»-»-»-»-»�«- - - ».._ .__..».._.....•...._----------•_---»-- - - __.».__ - - -- ------- --- - ------------------------------- <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 <br /> --------------------------------------- <br /> a <br /> _-- LEAK TEST FREQUENCY: ❑ CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ &MONTHLY ❑S.OTHER(S ecif ) .90-17 <br /> PROGRAMMED TESTS: ❑ 0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): 490-19 <br /> g•p• g•P• 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49420 <br /> (:34.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490 -22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY (3b.BIENNIALLY C3 c,OTHER(Specify): 490-25 <br /> 490-26 <br /> ❑99.OTHER (Specify): 49a,T <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> I CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490 Zs <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 49x'-9 <br /> __..... ------ __-_-_-__-_».____._______Y____-______--_-----------_--_-»_________________________-_ <br /> PANEL MANUFACTURER:PneurnercatOr 490'30 MODEL#: TMS2000 490-31 <br /> ......-_-•------------•---»- »_»._.» - -- ----------»------•--------•----•--------------------------4---- <br /> _ -- <br /> LEAK SENSOR MANUFACTURER: PneUITlercatOr4132 MODEL#(S): LS600 490.33 <br /> -------------------- <br /> --------- <br /> ------- <br /> ----- <br /> --------- <br /> -- - --- - -- -- -'-_- ..........».»-------------------------._»..........»._..» »»......_........_. <br /> s <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED(23CCRJ2636) _ 490-36 <br /> -- - _ - - ----------------49a�i------------------»----------•-------«-------------------------- 49433 <br /> MLLD MANUFACTURER(S): MODEL#(S): <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> .._'-_-------490:40. <br /> ELLD MANUFACTURER(S) MODEL#(S) 490-0I <br /> PROGRAMMED IN LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 h ❑ 2.MINIMUM ANNUAL 0.1 h 49442 <br /> g.p. . g.p. . <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 490-44 <br /> 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY a a.ANNUALLY C3 b.EVERY 3 YEARS C3c.OTHER(Specify) 49046 490-47 <br /> 5.VISUAL PIPE MONITORING. 490.19 <br /> j FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490491 <br /> I •Allowed for monioriag of unburied emergency generator fuel pipia r,only per HSC 835281.5(bN3) <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 I <br /> 490-51 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 0-9433 j <br /> a-nrn auc•r n 1.It HAA'\VA <br />
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