My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING_PRE 2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
C
>
CAMBRIDGE
>
16470
>
2300 - Underground Storage Tank Program
>
PR0231532
>
BILLING_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/4/2022 2:28:59 PM
Creation date
11/2/2018 3:58:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
03
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CAMBRIDGE\16470\PR0231532\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/23/2012 8:00:00 AM
QuestysRecordID
132740
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
115
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
t'>✓IED PROGRAM CONSOLIDATED FORM `W� <br /> UNDERGROUND STORAGETANK <br /> MONITORING PLAN (Nage 2 of 2) <br /> VLUNDER DISPENSER'CONTAIN NIENT UDC. MONITORING. <br /> 190 SL <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49.66 <br /> ❑ I.CONTINUOUS ELECTRONIC MONITORING 02.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONG <br /> ❑41_NO DISPENSERS ❑99.OTHER(Specif _---------.-----------7979—_-79.79__..._.___..__. <br /> 19o-ss MODEL q: 49oaa. <br /> PANEL MANUFACTURER: _ <br /> 7979 7979------------ <br /> 9W.SB <br /> LEAK SENSOR MANUFACTURER: °9°sJ MODF.1,q(Sj: <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES N b.NO 190-s9 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES N b.NO 190.fi0 <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES N b.NO <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. N a.YES ❑b.NO 490.61 <br /> 7979..... 7979. .7979— 7979 490.6) <br /> 2.UDC CONSTRUCTION IS 0 L SINGLE-WALLED ❑ 2.DOUBLE-WALLED <br /> va-a. <br /> IF DOUBLE WALLED: <br /> _UDC INTERSTITIAL SPACE IS MONITORED BY_[IL-LIQUID 02_PRESSURE_❑3_VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑n.YES ❑b.NO 490 bob <br /> VII.PERIODIC SYSTEM TESTING <br /> I. ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHAN(;_W 490.et <br /> _ LAK ETECTION L MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED_(23 CCR§2644.1 __ <br /> N 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS - °90 66 <br /> ._____..._.____--.___..___.__.___.__...____.__ 7797-7797__ .7979 _._..__. <br /> N 3.SPILL BUCKETS ARE TE.SI-ED ANNUALLY. *047 <br /> VIII.RECORDKEEPING 7979 <br /> The following monitoring/maintenance records are kept for this facility: <br /> N Alarm logs 49orm. ❑Visual Inspection Records 490.586 ❑Tank integrity testing results 490-6eo <br /> ❑SIR testing results(and supporting documentation records). 4%68d ❑ Tank gauging results(and supporting documentation records). 4W-U. <br /> ❑ATG Testing results(and supporting documentation records).490b8r ❑ Corrosion Protection 60-day logs 4 6111 <br /> N Equipment maintenance and calibration records. 490.dah <br /> . . . <br /> ::12C.TRAINING -7979 <br /> N Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to Iheirjob duties. 490.59. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> N THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)4W6% <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490.59c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-59d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4900.598 <br /> ❑ STATE WATER-RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490.598 <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"4vo-vxa <br /> ❑ OTHER(Specify):m59k mast <br /> -EFThu facility has a"Designated UST Operator"who has posed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator'will Vain facility employees in the proper operation and maintenance or the UST systems annually,and within 30 days of hire.This <br /> 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 monitoring equipment as specified in this UST Monitoring Plan <br /> > The facility employee's role with regard to spills and overfills no specified in the UST Response Plan <br /> ➢ Names of contact person(s)for emergencies mid monitoring alarms.49 ro <br /> X. COMMENTS/ADDITIONAL INFORMATION _ <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.4W71 <br /> oviseiru- PzEvf.Nnoti: F14 41Vee959'. 7979_ <br /> _ <br /> At.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/OpemtoT is responsible For ensuring that: I)the daily/routine UST monitoring activities and maintenance oFUST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The following person(s)are responsible for performing the monitoring and equipment maintenance: <br /> NAME Service Coplact Center 490.77 TITLE 24 Hour Call Center 49o-n <br /> NAME Rudy Tovar 4so-74 TITLE Market Manager 496 <br /> The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator, and inform the owner/operator cr any <br /> conditions that need follow-up action. <br /> - XIL OWNER/OPERATOR SIGNATURE _ <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE 490.75 DATE- °90-t1 <br /> APPLICANT NAME(print): 490.A APPLICANT TITLE190-19 <br /> Rich Gossett Environmental Compliance Manager <br />
The URL can be used to link to this page
Your browser does not support the video tag.