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COMPLIANCE INFO_2006-2018
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PR0231736
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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
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231736_1420 N TRACY_2006-2018.tif
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EHD - Public
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8/30/04 MON 15:32 FAX Q 0 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TAMC <br /> MONITORING PLAIN-PAGE I <br /> TYPE OF ACTION ❑ 1.NEW PLAN IN 2,CHANGE OF INFORMATION M01. <br /> PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL UST-AT THIS FACILITY. M02. <br /> (Check one item only) ® THIS PLAN COVERS ONLY TF1£FOLLOWING UST SYSTEM(S): <br /> I: F.ACMITY INFORMATION <br /> FACILITY ID#(Agmgy Use Only) <br /> FACILITY NAME " M03. <br /> FACILITY SITE ADDRESS .f MPH CITY �ry YV A M05. <br /> �•�^g{ �7-���y�7!�+r��rry�g�7�yy�y ,���pYs}�1��i �...,".,.. ...:_,.., r� p� /��i <br /> ... .. U,1 )t,Q V iTiYli.il'T,,T.-S Y'ING 1'l ]Di PIt :L1�.TI 6"'i�r i ENANi.l�e. . <br /> State law requires thut testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in MD6• <br /> accordance with the equiprnent maoulbcierrers'instructions,or annually,whichever is mote frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED IR 1.ANNUALLY E] 99.OTHER(Specify): Mme' <br /> . : •'III.:M0NITORINGjLi0CATT <br /> This monitoring plan must include a Sit;Plan showing the general tank and piping layouts and the locations Where monitoring is porfoerued(i.e.,location of each sensor, <br /> line Ic ak detector,monitoring system control panel,etc.). Ifyou already have a diagram(cg,,current UST Monitoring Site Plan from a Monitoring System Certificution <br /> form,Hazardous Materials Business Plan map.etc.)which shows all required iinrfonnation,include <br /> tyi�trwith <br /> ^this plan. <br /> • '... '.. .. T13t`i1Y..MQy. TO�:RI�J:�i.-lir . .• . <br /> MONITORING IS PERFORMED USING 773E FOLLOWING METFIOD(M7:(Check all that apply) Min. <br /> OM 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAUI T(S) <br /> SECONDARY CONTAINME21T IS: H a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRMSURE ❑ d.UNDER VACUUM <br /> PANEL MANUFACTURER: - MI2. MODEL 9. <br /> LEAK SENSOR MANUFACTURER: Mt4, MODEL#(S): <br /> M 15. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE.WALL TANK(S) <br /> PANEL MANUFACTURER: M16. MODEL Ih MIT <br /> IN-TANK PROBE MANUFACTURER: MIH. MODEL#(S): M19. <br /> LEAK TEST FREQUENCY: ❑ &CONTINUOUS ❑ b.DALLY/NIGHTLY ❑ c.WEEKLY M20. <br /> ❑ d-MONTHLY [ c.OTHER(Specify): <br /> PROGRAMMED TESTS! ❑ a.0.1 g,p,b. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. Man, <br /> ❑ 3.INV!NTORY RECONCILIATION ❑ it.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CAM§26446.1 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MM)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a,36 HOURS ❑ b.60 HOURS M2S' <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ &ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHM(Spenfy): -- M26. M27. <br /> [3 &VISUAL MONITORING DONE: ❑ s DAILY ❑ It.WEEKLY(Ragw-n-ayvp-) <br /> Mme. <br /> [199.OTIIER(Specify): <br /> V.-TIP,'.MONITORING..-.. : <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all drat apply) Mse' <br /> i.CONTINUOUS ELECTRONIC MONITORINQ OF PIPING SUMP(SYfRENCI9ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: s DRY b.LIQUID FILLED C3 c.UNDER PRESSURE d.UNDER VACUUM <br /> PANEL MANUFACTURER: M32, MODEL#: <br /> LE�AKSENSOR MANUFACTURER: Ma° M35. <br /> MODEL <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SIIUTDOWN? ❑ a,YES 99 b.NO n43R, <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M17- <br /> ❑ 2.MECIANICAL LINE LEAK DETECTOR(MLLD) TFIAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DFf EEGTFD <br /> MLLD MANUFACTURER(s): Mss. MODEL#(S): MjQ <br /> Ca 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS <br /> FLLD MANUFACTURER M40, MODEL#: M4I. <br /> PROGRAMI.9EI3 LINE.INTEGRITY TESTS: ❑ a.MINIMUM MONTIILY 0.2 g.p.h. ❑ b•MINIMUM ANNUAL 0.1 g.p.h. Moa. <br /> WILL FLLD DETECTION OF A PTPTNG LEAK Tl'4JGGER AUTOMA'T'IC PUM P SNUTDO WN? ❑ a.YES ❑ b.NO 143, <br /> WILL=•'LLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b,NO M44. <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVRRY 3 YEARS ❑ c.OTHER(Specify) Mas. Moa. <br /> ❑ 5.VISUAL MONITORING DONE: ❑ u.DAILY ❑ b.WEEKLY- ❑ c.MLN.MONTHLY&EACH TIME SYSTEM OPERATED" M41. <br /> •aeqtdm agency oppmval " Allowed for m oultming of uabaied amrRartay RQremtor fuel PW=Doty Per USC 12528i.Xb.0) <br /> J9 6.PIPING IS SUCTION PIYfNG MELTING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR$263010)(3) <br /> 54 7.NO PRODUCT OR REMOTE FILL,PIPING IS CONNECTED TO THE UST(s) <br /> Moa. <br /> ❑ 99.OTHER(Specify) <br /> S.TCEHD-d(07/03)-1/4 07/33/03 <br />
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