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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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LATHROP
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2300 - Underground Storage Tank Program
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PR0505687
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BILLING_PRE 2019
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Last modified
1/26/2022 12:02:27 PM
Creation date
11/5/2018 4:41:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0505687
PE
2361
FACILITY_ID
FA0006943
FACILITY_NAME
LATHROP GAS & FOOD INC
STREET_NUMBER
140
Direction
E
STREET_NAME
LATHROP
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19611007
CURRENT_STATUS
01
SITE_LOCATION
140 E LATHROP RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LATHROP\140\PR0505687\BILLING 2013 - 2015.PDF
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <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 /> ElI-CONTINUOUS ELECTRONIC MONITORING .FLOAT AND CHAIN ASSEMBLY El3.ELECTRONIC STAND-ALONE 490-546 <br /> ❑4.NO DISPENSERS ❑99.OTHE (S ec. <br /> _PANEL MANUFACTURER: yy-- a9a-55 /6/! J-56 <br /> _ P��— !j// orGa MODEL <br /> LEAK SENSOR MANUFACTURER: — 490-s r MODEL#(S): 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑b.NO 490.59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ❑b NO 4904,0 <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 494,1 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑b.NO 490.62 <br /> 2.UDC CONSTRUCTION IS ].SINGLE-WALLED ❑2.DOUBLE-WALLED 49063 <br /> IF DOUBLE WALLED- 490-644 <br /> UDC INTERSTITIAL SPACE IS MONITORED PY_❑ 1.LLWID ❑2.PRESSURE 3_VACUUM_ <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS—❑a,YES—❑b.NO — 440-646 <br /> VII.PERIODIC SYSTEM TESTING <br /> I. 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 FLD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR X2644.1 <br /> — --•— <br /> 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 monitoringimaintenance records are kept for this facility: <br /> Alarm logs 490-68a gXisual Inspection Records 490-68b ❑Tank integrity testing results 49a-68c <br /> SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-688 <br /> ❑ATG Testing results(and supporting documentation records).490-66f ❑ Corrosion Protection 60-day logs 490.69g <br /> ❑Equipment maintenance and calibration records. 490-68h <br /> IX.TRAINING <br /> XPersonnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490.694 <br /> REFE NCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69c <br /> CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-694 <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"490.698 <br /> ❑ OTHER(Specify):M69h,M69i <br /> 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 /> Y The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> D Names of contact person(s)for emergencies and monitoring alarms.490-70 <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.49x-71 <br /> �-e�et� -:vt+� 5- a, G �10 �,�c,�;-{-,r Jia r`11.,�,ra'�c..�'� �� e►r� <br /> X1.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1)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 foldw1n erson(s)are res risible for performing the monitoring and equipment matye nance <br /> NAME r"4 z O/r� 490-72 TITLE !'S G +per g'-k r d j-,5 <br /> 490-73 <br /> NAME +'1 a; 1, G;.J S qct 490.74 TITLE , e—r.1 490-75 <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 /> XII.OWNERIOPERATOR SIGNATURE <br /> CERTIFICATION:_Icertify that the formation provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGN&AWRE 490-76 1 DATE: 490-77 <br /> KEPPESENrtt4G 71 I.Tank 220rator Q Enifiry0wnjr_102eratar J&;.Authorized Re reshrive ol`Qumer <br /> APPLICAN E(print): 490-7g APPLICANT TITLE: 490.79 <br /> UPCF UST-D(1211007)314 <br />
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