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BILLING 2004 - 2009
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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PR0231233
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BILLING 2004 - 2009
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Entry Properties
Last modified
12/4/2023 11:34:31 AM
Creation date
11/6/2018 10:26:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2004 - 2009
RECORD_ID
PR0231233
PE
2361
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
01
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4501\PR0231233\BILLING 2004 - 2009.PDF
QuestysFileName
BILLING 2004 - 2009
QuestysRecordDate
8/25/2016 5:38:51 PM
QuestysRecordID
3175459
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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FEB-03-2007 00:55 7-ELEVEN INC NW DIV. 503 977 7711 P.04iO4 <br /> Underground Storage Tank Monitoe`y Plan-Page 2 of 2 <br /> v <br /> VI.DISPENSER MONITORING <br /> MONITORING OF AREAS BENEATH DISPENSER(S)IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) M50. <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) <br /> PANEL MANUFACTURER:VeiliJ,flrRoot M11• MODEL#:TLS350 "t5' <br /> LEAK SENSOR MANUFACTURER:VeederRoot M53• MODELx(S):794380-352 ansa. <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? 0 a•YES ❑ b.NO m55. <br /> WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? 0 a.YES ❑ b.NO Me°. <br /> WILL FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 0 a.YES ❑ b.NO ' <br /> ❑ 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br /> ASSEMBLY MANUFACTURER: We. MODELN(S): MSB <br /> ❑ 3.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(a�sinr mmy aprovin <br /> [I 4.NO DISPENSER$ <br /> ❑ 99.17Tt1ER(Speci ) <br /> VII. ENIIANCED LEAK DETECTION <br /> ❑ 1.WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK ono_ <br /> DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN,PER 23 CCR§2644.1,ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br /> VIII. TRAINING <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mtu. <br /> 1, 0 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 2. 0 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) <br /> 3. 0 THE FACILITY'S BEST MANAGEMENT PRACTICES(Roquired as of January 1,2005) <br /> 4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <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. ❑ SWRCB PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS- <br /> 99,0 OTHER(Spocily): Mei. <br /> Personnel with UST monitoring responsibilities are Pomihar with all of the above docummts rdcvant to their Joh duties end can access those doetm ems when needed. <br /> By January 1,2005,this facility will have a"Dwignalal UST Operator"wbo has passel the California UST Sytem Operator Exam administered by the International <br /> Code Council(ICC). By July 1,2005,and atm,wlly thereafter,the "Designated UST Operator'will train facility employees in the props operation and maimmmcc <br /> of the UST systems.This training will include,but is not limited to,the following: <br /> Y Operveion of the UST systems in a manner consiatem with the facility's beat memagemem practices• <br /> Y The facility employee's role with regard to the leak detection equipment. <br /> D The facility employees role with regard to spills and overfills. <br /> Y Whom to contact for emergencies and leak detection alarms. <br /> For facility employees hired on or after July 1,2005,the initial training will be conducted within 30 days of the date of hire <br /> IX- COMMENTS/ADDITIONAL INFORMATION <br /> Plosee use this section to include any additional UST system monitoring-related information(e.g.,additional information required by you local agtacy)! MBS. <br /> Note regarding Section K Pending certification of a Designated UST Operator,the following person has authority for performing the monitoring <br /> activities and maintaining leak detection equipment mvered by this plan. NAME: JOB TITLE; <br /> Overfill prevention-flapper valve <br /> non-discriminating liquid sensors In turbine sumps and dispenser pans <br /> X. PERSONNEL RESPONSIBILITIES <br /> AS Of JANUARY 1, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT U$T OPERATING PERMIT <br /> APPLICATION FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING TIME MONITORING ACTIVITIES AND MAINTAINING <br /> LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN,AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS <br /> OF THE FACILITY'S UST SYSTEMS W ACCORDANCE WITH 23 CCR§2715(b). <br /> X . OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION: ee ' that the Bnt adon provided herein Is true and accurate to the best of m knowledge. <br /> OWNER/OPERAT7S12KATURE / REPRESENTING DATE•. 1491. <br /> 0 Owner M9a. <br /> ®Operator Janus 31 2007 <br /> OWNER/OPERATOR NAME(print): WA. OWNER/OPERATOR TITLE: M91 <br /> Randy Martin Gasoline & Environmental Compliance Mgr <br /> (Agency Use Only) This plan has been reviewed and: Q Approved 10 W Approved With Conditions,, ) ❑ rDisapproved <br /> Local Agency Signature: Date: <br /> Comments/Spccial Conditions: �h aa/ <br /> UN-022A-2/3 www.unlAnn nre <br /> TOTRL P.04 <br />
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