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COMPLIANCE INFO_2006-2018
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COMPLIANCE INFO_2006-2018
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Last modified
11/29/2023 12:42:29 PM
Creation date
6/23/2020 6:51:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2018
RECORD_ID
PR0231736
PE
2361
FACILITY_ID
FA0002562
FACILITY_NAME
Sutter Valley Hospitals dba Sutter Tracy Community Hospital
STREET_NUMBER
1420
Direction
N
STREET_NAME
TRACY
STREET_TYPE
Blvd
City
Tracy
Zip
95376
APN
233-081-01
CURRENT_STATUS
01
SITE_LOCATION
1420 N Tracy Blvd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231736_1420 N TRACY_2006-2018.tif
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - PAGE 2 <br /> VI. DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING MI THOD(S)(Check all that apply) M50 <br /> ❑ I.CONTINUOUS ELECTRONIC.MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: M51' MODEL#: m152. <br /> LEAK SENSOR MANUFACTURER: M" MODEL#(S): M54 <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL,ALARMS? ❑ a.YES ❑ b.NO hSS <br /> WILL,A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M56. <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO "5z <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: Mss MODEL#(S): <br /> ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requi—agency approval) M60 <br /> J 4.NO DISPENSERS <br /> ❑ 99.OTHER(Specify) M61. <br /> VII. ENHANCED LEAK DETECTION <br /> ❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUSTIMPLEMENT ENHANCED LEAK MM <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> REFERENCE:DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) naso. <br /> I. 19 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. [11 THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE"TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99.❑ OTHER(Specify): nasi. <br /> Personnel with UST monitoring responsibilities are fiuniliar with all of the above documents relevant to their job duties and can access those documents when needed. <br /> By January I,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated JUST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This 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 leak detection equipment. <br /> The facility employee's role with regard to spills and overfills. <br /> Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or atter January 1,2005,the initial training will be conducted within 30 days of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): 1n85. <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS OF I/l/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION 111 OF THE CURRENT UST OPERATING PERMIT APPLICATION - <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR§2715(6). <br /> XI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION: 1 certify that the information provided herein is true and accurate to the best of my knowledge. <br /> OW ER/OPERATOR S�GNATURE REPRESENTING DATE: naoi. <br /> ❑Owner rotes. t <br /> 19 Operator ( ka— <br /> OW <br /> 'WPOR NAME(print): M92. OWNER/OPERATOR TITLL: N19Y <br /> f E, .� <br /> (Agenc.) Use On/v) This plan has been eviewed and: j>pproved El Approved With Conditions f ❑Disapproved <br /> Local Agency Signature: Date: 1\ 1141 <br /> _ <br /> Comments/Special Conditions: ---""ITT <br /> S.ICEHD-d(07/03)-314 <br /> 07/23/03 <br />
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