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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231485
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BILLING_PRE 2019
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Last modified
9/27/2022 11:29:01 AM
Creation date
11/2/2018 3:41:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231485
PE
2361
FACILITY_ID
FA0000306
FACILITY_NAME
EMILS LIQUOR & SPORTS SHOP*
STREET_NUMBER
1405
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
ESCALON
Zip
95320
APN
22707031
CURRENT_STATUS
01
SITE_LOCATION
1405 CALIFORNIA ST
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CALIFORNIA\1405\PR0231485\BILLING 1987-1998.PDF
QuestysFileName
BILLING 1987-1998
QuestysRecordDate
5/11/2018 10:22:36 PM
QuestysRecordID
3890093
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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IFIED PROGRAM CONSOLIDATED FORK <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Pae 1 of 2) <br /> TYPE OF ACTION ❑ I.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490.1 <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 400-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br /> I. FACILITY INFORMATION !A� Q <br /> V <br /> FACILITY ID#(Agency 1 <br /> BUSINESS NAME(Same as FACILITY NAME)Emil's Liquor&Sport Shop 3, <br /> BUSINESS SITE ADDRESS 1405 California Street 103- CITY ESCalon 95320 104 <br /> IT.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <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 /> (23 CCR§LLL 2634,2638,2641L_------- <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHERS eci 4963. <br /> (Specify): 490.3b <br /> IIL MONITORING LOCATIONS <br /> ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED W ITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)4904 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 <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 490-6 <br /> ____ <br /> PANEL MANUFACTURER_Gilbarco EMC__ 490-7- M <br /> T MODEL#: EC 490'8 <br /> LEAK SENSOR MANUFACTURER: Veedor Root 490-9 1 MODEL#(S): 794390420 4204M 490-10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKIS).(23 CCR§2643) 49611 <br /> PANEL MANUFACTURER: 4%-12, MODEL#: 490-13 <br /> IN-TANK PROBE MANUFACTURER: _490-14, MODEL#(S): 49615 <br /> ___ ________ <br /> LEAK TEST FREQUENCY: ❑ a CONTINUOUS [j b.DAILY/NIGHTLY ❑ c.WEEKLY 49616 <br /> ❑ d._MON_T_HLY _ _ ❑ e.OTHER(Specify): _ _ 490-10 <br /> PROGRAMMED TESTS: ❑ a.0.1 h ❑ b.0.2 g.p.h. ❑ c.OTHERS eci 490-18 <br /> g.p.h. (Specify): -__ 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49x20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49621 <br /> El5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-20 <br /> 490-25 <br /> [199.OTHER (Specify): 49°-26 <br /> 490-27 <br /> V. PIPE MONITORING IS PERFORMED''USING THE FOLLOWING,METHOD(S)(Check all that apply) <br /> ❑ 1.CON"IINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> T <br /> PANEL MANUFACTURER: 490-30 ri r �� Cil�leLp �490a1 <br /> I MODEL#: <br /> _ <br /> LEAK SENSOR MANUFACTURER: 49°-32 1 MODEL#(S)___�__7�D'$ 490-33 <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(23 CCR 2636) _ _ _ _ 490-36 <br /> MLLD MANUFACTURER(S):Red Jacket(VMI 490-37 MODEL#(S): 11-6-056IP7551 FXIV 490-38 <br /> LD2000 <br /> ❑ <br /> 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS 23 CCR 2636 490.39 <br /> ELLD MANUFACTURER(S)__ ___ ______ 490-40.-MODEL#(S): 116-056 49041 <br /> -- __-_____----_ _ ---_____ <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-03 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490.44 <br /> ® 4.PIPE INTEGRITY TESTING 49045 <br /> TEST FREQUENCY ® a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 4904649647 <br /> LJ 5.VISUAL PIPE MONITORING. 49048 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MM.MONTHLY&EACH TIME SYSTEM OPERATED- 49049 <br /> e Allowd for monitoring of unburied emergmy gAmtor fuel pipin,only rHSC§2528 L56 3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 49650 <br /> 77 7.-N0 REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.71S CONNECTED TO THE TANK SYSTEM <br /> 49651 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 49653 <br /> UPCF UST-D(12/2007)I/4 <br />
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