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COMPLIANCE INFO_2010-2015
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2300 - Underground Storage Tank Program
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PR0506004
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COMPLIANCE INFO_2010-2015
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Last modified
9/12/2024 4:20:39 PM
Creation date
6/23/2020 6:57:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0506004
PE
2361
FACILITY_ID
FA0007140
FACILITY_NAME
FLAG CITY SHELL*
STREET_NUMBER
6437
Direction
W
STREET_NAME
BANNER
STREET_TYPE
ST
City
LODI
Zip
95242
APN
05532019
CURRENT_STATUS
01
SITE_LOCATION
6437 W BANNER ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0506004_6437 W BANNER_2010-2015.tif
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EHD - Public
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10/03/2007 09:41 <br />UNDERGROUNDMIRAGETANK <br />MONNORMG PLAN (Pap 2 of 2) <br />(#0050 P.011 /021 <br />'n MI DISPENSERC.ONT EW(MOMONTrORM <br />1. [IDC MONITORING IS PERFORMED USJING THE FOLLOWING METHOD 490-54a <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING $�FLOAT AND CHAIN ASSEMBLY ❑ 3. ELECTRONIC STAND-ALONE 490-Ub <br />E14. NO DISPENSERS ❑ 99.OTHER (Specify)_ <br />_ <br />PANEL MANUFACTURERase ss ' <br />MODEL #: a905G. <br />LEAK SENSOR MANUFACTURER aw s> <br />MOIDEL #(Sy mss <br />DEFECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a. YES ❑ b. NO <br />UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SmwowN ❑ a. YES ® b. NO a 0 <br />FAILURE / DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 4n <br />UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. $YESY❑ b. N0 4W42 <br />2- [IDC CONSTRUCTION IS Q. SINGLE•WALLRD ❑ 2. DOUBLE -WALLED 4§5'- <br />1F DOUBLE WALLED_ 49OMa <br />—UDC INTERSTITIAL SPACE IS MONITORED BY: 1;LICZUiD 3 2. PRESSURE ❑ 3. VACUUM <br />A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a Y ®b. NO <br />VII. PERIODIC SYSTEM TESTING <br />0-1 - EL1D 'TE.STRG. THIS PACMrtY HAS BEEN NOTIFIF,D BY THE STATE WATER RESOURCES COAITROL 60AR1) THAT g NCFI) 490<6• <br />LEAK DETECTION Ei Dt MUST BE PERFORMED. PERIODIC ELD IS P_ERfURMED EVERY 36 MONTHS t1S REQi3rRlil. 23 CCR $Zb44. i <br />— <br />SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MOVM. <br />SPILL, BUCKETS ARE TESTED ANNUALLY. � 49061 <br />`✓III.. RECORD ING — <br />folknwmg monftrmS/q%0benancc records aro kept for this facility; <br />AM logs a isuel Inspection Records 4"b ❑ Tank irmcgrity testing results aso.Fgc <br />SIR testing results (and supporting "on records), 4"M ❑ Tank gauging results (and supporting documentation records). 49D.40 <br />ATG Testing results (and supporting docianenb1tiOn records). 490<4 ❑ Corrosion Protcctiot160-day logs 4-4A% <br />DU4UTPMM1t maintenance and calibration records. 49"M <br />TIC: TRA C: <br />eno-oi with UST monitoring responshbilitie:s ate familiar with all of the following relevam m their job duties. 490 a% <br />1F 'RENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) <br />THIS UNDP STORAGE TANK MON ITORING PLAN (Required) 49o.4% <br />OPERATING MANUALS FOR ELECTRONIC MONrTORLNG EQUn)m vNT (Required) 49069, <br />❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />❑ CALIFORNIA UNDERGROUND STORAGE TAMC LAW 4%Wf)a <br />❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />S'I'ATLSTICAL INVENTORY RECONCILIATION" 4x4ff <br />❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS axiom <br />❑ OTHER (Specify).- oast,, MM <br />This fxiliry has a ~Dcsigtheyed US1' who has passed the California UST System Operator Exam admimstered by the Intern 3;;;;;;- Codc Council (ICC). <br />Drsigtiated UST ' wiIl main facility employees in the proper operation and maintenance of dw UST systems anz ly, and within 30 days of hire. This <br />training will include, bent is not limited to, the: following: <br />> Operation of the UST systems in a txinner consistent with the facility's best management practices <br />9 The facility employee's tole with regard to the monitoring equipitim as specified in this UST Monito ms Pian <br />I* The facility employee's role with regard >m sols and overfills as specified in the UST Response Plan <br />➢ Names of contest person(s) for emergencies and monitoring alarms. 4qu-7o <br />X.' C �NTS/ADDITIONAL INFO TION ' <br />Provide additional comments here or indicate how many pages with additional informat m on specific monitoring procedures arc attached to this plant. neo rt <br />ItiDiZ1,4102iLlf W liitllltl3`? <br />The UST Owner/Operator is responsible for ensuring rise 1) the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br />this plan occurs. 2) all conditions Hast indicate a passible reline are investigated, and 3) all monitoring rcrovds are m9aftined properly. <br />The foliowi tersoa{s) are�be�11e�moaiWriag r$d equipmentNAME .arta TrfLE��� <br />ayu ri <br />NAME ayo_7a TITLE ago rs <br />The Designittod Opetatot sbaff perform a monthly visual inspoction of the facility, provide a report to the owrnedopetator, and inform the owner/operator of any <br />conditions that need follow-up action <br />XR. <br />TION: i ceoiCv that thOmfor=tion earn <br />APPLICANT NAME <br />UPCF USF -D (1112007) 3/4 <br />1,kv Uily <br />is true and accurate to the best of wey Ianowledge. <br />asap 1 DATE: <br />APPLICANT TITLE: L <br />
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