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BILLING 2011 - 2015
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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PR0232261
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BILLING 2011 - 2015
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Last modified
11/29/2023 1:02:40 PM
Creation date
11/6/2018 10:05:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2011 - 2015
RECORD_ID
PR0232261
PE
2361
FACILITY_ID
FA0002590
FACILITY_NAME
THORNTON 76
STREET_NUMBER
8606
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
07242019
CURRENT_STATUS
01
SITE_LOCATION
8606 THORNTON RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\THORNTON\8606\PR0232261\BILLING 2011 - 2015.PDF
QuestysFileName
BILLING 2011 - 2015
QuestysRecordDate
2/27/2018 4:04:22 PM
QuestysRecordID
3716235
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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'illililliUNIME,D PROGRAM CONSOLIDATED FORM MW <br /> UNT)tRGROUND S'T'ORAGE TANK <br /> Mi ONiTORING PLAN (Page 2 or 2) <br /> V1:i7NATR DiSPENSNrR CON PATNM�NT(UDG�.MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING TTIT;FOLLOWING METHOD n�sib <br /> ❑ 1.CONTINUOUS ELEC'T'RONIC MONITORING 2,FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> Q_4.NO D SPENSERS _❑_ 99.OTH13R RSR t�)_ __ <br /> — ------J...._ ---_........ a�a%s� MODEL#: <br /> PANEL MANUFACTURER: <br /> _..............S./.._,.----^-............. ..�...._... ---— __..._.. —- ............. .---- <br /> M190-S't 190SR <br /> LFAK•ENSOR MANUFACTURER; Bravo MODEL P(S): Mechanical <br /> D1ETECTiON OF A LFAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ at.YES I),NO 490.59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ at.YES ®b_NO 190 60, <br /> FATLURP,I DISCONNECTION OF UDC MONrrORTNG SYSTEM TRIGGERS AUTOMATIC PUMP STTUTDOWN. ❑ a.YES JZ K NO 190-61 <br /> UDC MONITORING STOPS TIiP_PLOW OF PRODUCT AT TI'M DISPENSER. ® it,YES ❑b,NO 490-62 <br /> 2.UPC CONSTRUCTION 15.M I_S1NGL£-WALr.FiD ❑ 2.DOUBLLE•WALLFD � 190-63 <br /> IF DO1.18I.i;1VALLED:- <br /> UDC INTERSTITIAL SPACE IS MONITORED BY; 0 L LIQUID ❑2,PRESSURE Q 3,VACUUM <br /> A LW,WiTiiIN THE SECONDARY CONTAINMENT Or THE UDC TRIGGERS AUDIBLY AND VISUAL ALARMS [,a n.YES ❑b.NO <br /> VII, I;iODiC SYSTEM.TE <br /> ':PI; STING —_ <br /> 1. ILII TESTING: TT-TIS FACILITY TIAS 13EEN NOTIFIED BY THE %,i,ATE WATER RESOURCES CONTROL 13GAXI)THAT jaU AZ9-W- ion-rs, <br /> LEAK DETECTI &�NTUST BE PERFORMF'D, PL•RIODIC FI.T)IS PERFORMED HVI ItY 36 MON' HS A3 REQUiRED_L3 CCI 2644.3�_ <br /> ®2,SECONDARY CONTAINMENT COMPONENTS ARE'I'ESTED i:VERY 36 MONTHS. 1ao-66 <br /> ......................_.........._., _...__...._....-..- <br /> 19 3.SPILL BUCKETS ARE TE&TF:D ANNUALLY, 19n G7 <br /> -- <br /> Tito foilowing monitaring/maintenance.records are kept for this facility: <br /> *Alarm logs 490.66. ❑Visual Inspection Records M19o.6ib ❑Tank integrity testing rc9ultA 490.690 <br /> ❑SIR testing results(and supporting documentation records). 49n-Fxd ❑ Tank gauging reaulta(and supporting documentation records). d9o.6ac <br /> ❑ATG Testing results(and supporttnR documentation records)_490.6ar ❑ Corrosion Protection 60-day logs 490.498 <br /> ®I3quipment maintenance and calibration reoords. 490-65h <br /> TXTRATNING'` <br /> ®Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to Iheir job duties. M19n-rw <br /> 1tR7,RF,NCP-DOCUMENTS MATNTAJNFD AT FACILITY(Check nil that apply) <br /> (�J THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Acquired)49o-69b <br /> ® OPT3RATINO MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)d9o.c90 <br /> CALIFORNIA UNDERGROUND S'T'ORAGE TANK REGULATIONS 490.69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW d90-m9 <br /> ❑ STATE WATi3R RESOURCES CONTROL BOARD (SWRCB) PURI,ICATiON: "HANDBOOK FOR TANK OWNERS MANUAL AND <br /> STATISTICAL iNVEENTORY RPCONCri,.TATTON"490.69r <br /> ❑ SWRC13 PtIRT,ICATTON:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69s <br /> Ej OTHER(Spcci ry):itil09h,M691 <br /> This facility has a"Designated UST Operator"who has passed the Cal ftmia UST System Operator Exam administered by the International Code Council(ECC). <br /> The"Designated UST Operator"will train facility employees in the proper opernttlon and maintenance Df the UST Systems annually,nn4 within 30 days of hire,This <br /> training will include,but is not limited to,the following: <br /> ➢ Operation ofthe TIST systems in a manner consistent with the facility's bcxt mmmgomcnt practices <br /> ➢ The facility employee's role with regard in the monitoring cquipmcnt as specified in this[1ST 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 penwn(s)for cmcrgetr(liea and monitoring alarms.490-70 <br /> X.:COMM=NTS/ADDITIONAL YNFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures arc attached to this plan,490.11 <br /> Overfill Prevention is a Mechanical Flapper set at 95% <br /> XT.PERSONNEL RF,SPONSIRiT,IT1T S _ <br /> The UST Owner/Operator is responsible for enattring that:1)the daily/routine UST monitoring activities and maintenance of UST Irak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a passible release arc investigated,and 3)all monitoring records aro maintained properly. <br /> The following person(&)-ire responsibie for pc0brming the monitoring and equipment maintenance: <br /> NAME Amarjit Rai 49042 Tirix Owner 49n-71 <br /> NAME Dccpa Rai 490-74 TiTLE Manager 490.75 <br /> The Designated Operator shall perform a monthly visual irvpection or the facility,provide a report to the owner/operator,and inform the owner/operntor of any <br /> conditions that need follow-up action. <br /> ..XII.OWNER/OPERATORSIGNATURE __ <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE a90.7G DATE: 40-77 <br /> zjtl�us et�9:.4tuhcdJJSc <br /> APPLICANT NAME(print): 470"79 -WPLI ANT TITLE: �. 499-79 <br /> Amarjit Rai Owner <br /> UPCF USC-D(12/2007)2/6 <br />
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