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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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PR0231585
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BILLING_PRE 2019
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Entry Properties
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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05/25/2005 11:47 2099629 JOSS TRAVEL PLJJ PAGE 06 <br /> UNDERGROUND STORAGE,TANK <br /> MONITORING PLAN-PAGE 2 <br /> VI,DISPENSER,-MONITORINC, <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHOD($)(Check all that apply) MSD. <br /> I.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSFR CONTAINMENT(UDC) <br /> PANEL MANUFACTURER: MSI. MODEL#: Msz. <br /> LEAK SENSOR MANUFACTURER; MS]. MODEL#(S): Mss. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARM$? e1Ka.YES ❑ b,NO Mss. <br /> WILLA UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? [Da.YES b.NO Ms6' <br /> WILL FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMA17C PUMP SHUTDOWN? [7 a.YES b.NO M57' <br /> ❑ 2.MECHANICAL ASSEMBLY(c.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE M CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: Mss' MODEL#(S): Mss' <br /> Y,3.VISUAL MONITORING DONE: a.DAILY ❑ b.WEEKLY(Rapum WM apo l) M . <br /> E] 4.NO DISPENSERS <br /> Q 99.OTHER(.Specity) M61. <br /> VII:'ENI ANCED:LEi KDETECTION <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK M7o. <br /> DETECTTON(ELD)FOR THE UST(S)COVERED BY THIS PLAN.PER 23 CCA§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> 'VIII. TRARiMG .:;'. <br /> REFS E DOCUMENTS MAINTAINED AT FACTLITY(Check all that apply) Mao. <br /> 1. THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. W MPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) ' <br /> 3. HE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of V 2004) <br /> 4, CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br /> 5. CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> 6. W STATE WATER RESOURCES CONTROL BOARD (SWRCS) PUBLICATION; "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> 7. EJ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br /> 99.❑ OTHER(Specify): Mai' <br /> Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br /> By July 1,2004,this facility will have a"Designated UST Operator"who has passed the operator exam administered by the international Code Council(ICC). By July <br /> I,2004, and annually thereafter,the "Designated UST Operator"will train facility employees in the proper operation and maintenance of the U$T systems. 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 leak detection cquipmrnt. <br /> y The facility employee's role with regard to spills and overfills. <br /> ➢ Whom to contact for emergencies and Irak detection alarm. <br /> For facility employees hired an or after July 1,2004,the initial training will be conducted within 30 62YS of the date of hire. <br /> IX. COMMENTS/ADDITIONAL INFORMATION <br /> Please use this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): sten. <br /> X:' PERSONNEL RESPONSIBII;ITIES. <br /> AS OF 7112004,THE"DESIGNATED UST OPERATOR"IDENTIFiBD IN SECTION IH 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 /> A O'WNEIR/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the informatiorLprovided herein is true and accurate to the best of my knowledge. <br /> OWNER/OPERATOR SIGNATIIRt2� PRESENTING DATE: <br /> Or M90. <br /> �Af ❑Operator f <br /> OWNERIOPERATOR NAMWnt)F OWNER/OPERATOR TITLE: Mes. <br /> (Agency U.re Only) This plan has bean reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved <br /> yfiigtoDate: <br /> CommcntslSpecial Conditions: <br /> SJCF,RD-d(DW03)-314 0723/03 <br />
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