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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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HARLAN
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15600
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2300 - Underground Storage Tank Program
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PR0231585
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BILLING_PRE 2019
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Last modified
4/26/2021 5:00:29 PM
Creation date
11/5/2018 12:53:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231585
PE
2361
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
01
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARLAN\15600\PR0231585\BILLING 2010 - 2015.PDF
QuestysFileName
BILLING 2010 - 2015
QuestysRecordDate
12/19/2017 11:13:22 PM
QuestysRecordID
3699814
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 2 <br /> VI. DISPENSER MONITORING <br /> MO TORING OF AREAS BENEATH DISPENSER($)IS PERFORMED USING THE FOLLOWING METH (Check al I that a p I <br /> CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PP y) 6150 <br /> PANEL MANUFACTURER: Mst. <br /> LEAK SENSOR MANUFACTURER MODEL#: Msr. <br /> MsMODEL#(S): Msa. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑. a.YES ❑.In NO Mss. <br /> WILL FAILURF/DISCONNECTION OF UDC MONITORING SYSTEM El a.YES TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ In NO Ms6. <br /> ❑ 2.MECHANICAL ASSEMBLY(UR FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ❑ b..NO MS'/. <br /> ASSEMBLY MANUFACTURER: nsss. MODEL#(S): Ms9. <br /> 4NO DIS <br /> El . MONITORING DONE: ❑.a.DAILY Elb.WEEKLY(Requires esmry Wpmvzl) <br /> ❑ 4.NO DISPENSERS Mho. <br /> ❑ 99.OTHER(Spa ci Cy) <br /> M61, <br /> VII. ENHANCED LEAKDETECTION <br /> [ ,.d'.WF,H4VF,BEEN NOTIFIED BY THE STATE VNATER RESOURCES CONTROL BOARD I IIA I WE MUST IMPLEnfE1T ENHANCED LEA}: <br /> DE7 _CTION(ELD)FOR THE IIST(S)COVERED BY THIS PLAN.PER 2' Meo_ <br /> CCR§2644.L ELD[S PERFORMED EVERY 3fi MONTHS AS REQUIRED <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY Check�alliiat apply I. ❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 6180 <br /> 2. ❑ OPERATING MANUALS.FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE <br /> TANK REGUACTICES LATIONS uired as of 1/01/2005) <br /> 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. ❑ S WRCB PUBLICATION:."WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99. ❑ OTHER(Specify): <br /> Personnel with USE monitoring responsibilities are familiar with all of the above documents relevant to Weir job duties and can access those documents when needed81 <br /> By January 1,2005 this facility will have a"Designated UST Operator"who has passed the operator exam administered by the International Code Council(ICC). By <br /> January 1,2005,and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems. <br /> This 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 leak detection equipment. <br /> ➢ The facility employee's role with regard to spills and overfills. <br /> ➢ Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after January 1.2005,the initial onshore will be conducted within 30 days ofthe date of hire <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section m include any additional USE system monitoring-related infonnanon(e_g_additional information re cored b <br /> q yyour local aeency): Mss <br /> X. PERSONNEL RESPONSIBILITIES•;, <br /> AS OF I/I/05, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION <br /> FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION <br /> EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S <br /> UST SYSTEMS IN ACCORDANCE WITH 23 CCR 2715 b_ <br /> XI.. OWNER/OPERATOR SIGNATURE` ' <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> OWNER/OPERATOR SIGNATURE RE ENTING DATE: �'l <br /> IC^G — er M9a. J�,_ / M91. <br /> ❑Operator / <br /> OWNER/OPERATOR NAME(print): M92. OWNER/OPERATOR TITLE: M93. <br /> (Agency Use Only) This plan has been reviewed and: ❑Approved PP ❑.Approved With Conditions ❑.Disapproved <br /> Local Agency Signature: Date <br /> Comments/Special Conditions: <br /> SJCEHD-d(07/03)-3/4 <br /> 07/23/03 <br />
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