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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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ELEVENTH
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2300 - Underground Storage Tank Program
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PR0231389
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BILLING_PRE 2019
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Last modified
11/19/2024 10:19:22 AM
Creation date
11/4/2018 4:35:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231389
PE
2361
FACILITY_ID
FA0003709
FACILITY_NAME
VALERO #3698
STREET_NUMBER
153
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23336607
CURRENT_STATUS
01
SITE_LOCATION
153 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\153\PR0231389\BILLING 2012-2015.PDF
QuestysFileName
BILLING 2012-2015
QuestysRecordDate
5/19/2017 9:44:43 PM
QuestysRecordID
3390673
QuestysRecordType
12
QuestysStateID
1
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUNDSTORAGETANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> 490-54b <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING X 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑ 4.NO DISPENSERS ❑99.OTHER(Specify): ________ <br /> _.. -----— ......______._______—---____________________________ <br /> 490.55 490-56. <br /> PANEL MANUFACTURER: MODEL#: <br /> LEAK SENSOR MANUFACTURER: 490-57 MODEL#(S): 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES E b.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES E b.NO 49060. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES E b.NO 49061 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. X a.YES ❑b.NO 49062 <br /> 2.UDC CONSTRUCTION IS X 1.SINGLE-WALLED ❑2.DOUBLE-WALLED 490-63 <br /> IF DOUBLE WAILED: `0.90-Ma <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ 1.LIQUID ❑2.PRESSURE ❑3.VACUUM _______________ <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO <br /> 490-64h <br /> VII.PERIODIC SYSTEM TESTING <br /> LJ L ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION(ELD)MUST BE PERFORMED..PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR§2644.1)____----- <br /> E 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY, 490-67 <br /> VIII.RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> E Alarm logs 4N-68a ❑Visual Inspection Records 49068b ❑Tank integrity testing results 490-68c <br /> ❑SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-6g <br /> E ATG Testing results(and supporting documentation records).49MU ❑ Corrosion Protection 60-day logs 490-68g <br /> E Equipment maintenance and calibration records. 490-68h <br /> IX.TRAINING <br /> E Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 4900)a <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> E THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> E OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69c <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490-69f <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g <br /> ❑ OTHER(Specify):M69h.M69i <br /> E This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees in the proper operation and maintenance of 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 as specified in the UST Response Plan <br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490-m <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on speei fm monitoring procedures are attached to this plan.49071 <br /> Thu Gilberto notifcs the dnvc,at 90%of wn ,.potty with an carornal horn and light. <br /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that I)the daily/routine UST monitoring activities and maintenance of UST 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 Beverly Clark 490-72 TITLE Manager 490-73 <br /> NAME Sandy Huff 490-74 TITLE Compliance Coordinator 490-75 <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 of 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 490-76 DATE: / 490-77 <br /> REPRESEoUrl G.,r�C$U �Lv{lL/1 L'`/gyp/ O� <br /> APPLICANT NAME(print): 490-78 APPLICANT TITLE: 490-79 <br /> Sandy Huff Compliance Coordinator <br /> UPCF UST-D(12/2007)314 <br />
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