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BILLING 2010 - 2015
Environmental Health - Public
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WALNUT GROVE
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2300 - Underground Storage Tank Program
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PR0521738
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BILLING 2010 - 2015
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Entry Properties
Last modified
2/13/2021 10:29:25 PM
Creation date
11/7/2018 8:23:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2010 - 2015
RECORD_ID
PR0521738
PE
2371
FACILITY_ID
FA0014762
FACILITY_NAME
JD Service Station, Inc.
STREET_NUMBER
9015
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
01
SITE_LOCATION
9015 WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WALNUT GROVE\9015\PR0521738\BILLING 2010 - 2015 .PDF
QuestysFileName
BILLING 2010 - 2015
QuestysRecordDate
12/15/2016 12:47:06 AM
QuestysRecordID
3281697
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN— I of 2 <br /> 19PI <br /> TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION _ <br /> PLAN TYPE I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br /> Chock ase iLem ❑ 2 THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): - <br /> FACILITY ID 0(AS&I Uw tiny) ]. <br /> BUSINESS NAME(Sum Ia FACILITY NAME) 5 D SCt'V I f e- S IOTA W1 C s <br /> Iw <br /> BUSINESS SITE ADDRESS 9 B 15 W ej h e CjYb✓t IICITYGY'N N - <br /> _ AT75K s _ <br /> nN <br /> Testing,ptt3sentive nsunteaetax,and alibraum of monitoring egwpment(e g,sensors.probes,line leek deteclas,<tc)muri be performed n the egtuncy <br /> specified by The elpdptnent nlata]holtvers' inslruclias,«arnnmlTy,whiclxver n u+ote tsegwes>�alsd tkal such work must be pert«med 6Y quellfied petsom+el. <br /> 3 CCR 32 2634 2639 2641 <br /> MON77DWNG EQLI[li'MINT ISSERVICEDI.ANNUALLY ❑ 99 OTHER(Specify): 400•3ee <br /> MAW <br /> 1.NEW SITE PLOT PLAN/MSUBMITTED WITH THIS PLAN. A.SITE PLOT PLAN/MAP PRLVIOIISLY SVBlID77•RD. (27 CCR 12&7Ze <br /> AP <br /> 263 _ _ s ... ... fir_ <br /> pq I.CONTINUOUS ELECTRONIC TANK MONCTORII OF ANNULAR all, STITIAI)BPACEIS�OR SEC'tONDARY CONTA[A'O�Nf <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (Z3 CCR§2632,2634) 41*4 <br /> _SECONDARY CONTA94MENT LS: _❑ a DRY gp/b.LIQUID FILLED ❑ c.PRESSURIZED E]d,UNDER VACUUM <br /> 4�_ —r71.—_.__....._—_____�.__._ s <br /> PANEL MANUFACTURER: c a 0,066 MODEL O: <br /> . : Halo <br /> LEAK SENSOR Al4NUFACI7IRER: � 00 190.9MODEL S) Hall <br /> 2.AUTOMATIC TANK GAUGINGMON <br /> (ATG)SYSTEM USED 70 ITOR amQ v WALL.TANK(SL_(23 CCR/2643) <br /> 19otz MODEL 0: -- 49ou <br /> PANEL MANUFACTURER: �_— _.V.—.__— MCI <br /> __ 49o-u. MODEL S. <br /> Di-TANK PROBE MANUFACTURER _. !K.L_.__ ___-_ <br /> LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAILYMIGHTLY ❑ c.WEEKLY <br /> 19�n <br /> ❑ d_MONTHLY ❑ e OINIIL_(�S eeiC�): <br /> PROGRAMMED TESTS: ❑ e 0.1 g.p.h. ❑ b.0.2 .p.h. ❑ c.OTHER(Specify): KPt9 <br /> roau <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(2i CCR 126/6.1): 11 <br /> 4 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD. ❑ a 36 HOURS ❑ b-60 HOURS x,32 <br /> 4to24 <br /> 5.TANK INTEGRITY TESTING(23 CCR 12643.1): <br /> M24 <br /> TEST FREQUENCY. ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 19o-v <br /> 49o-ss <br /> ❑99.OTHER (Specify). Own <br /> L1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND it <br /> UAL ALARMS. (23 CCR§2636) 499.29 <br /> SECONDARY CONTAINMENT IS:wa.DRY b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER V AC_U_rU�M <br /> 490.90MOI •R„_� 3 s� 4sa]1 <br /> PANEL,MANUFACTURER: ee CY ffT- DEL.M: <br /> 49an <br /> LEAK SENSOR MANUFACTURER: JI �oa2 CL ------ 4WI4 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. IP a YES ❑b.NO <br /> FAILUR7'1DLSCONNECI1ON OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES Cl b.NO <br /> 49033 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY rERFQRMS 3.0 gp.k.LEAK TESTS AND RESTRICTS OR SHUTE OFF <br /> PRODUCT FLOW WHRN A LEAK I6 DETECTED CCR <br /> —_ MLLD MANUFACTURERS: •G r y hodT MODEL 0(S: L• <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3A RVI LEAK TESTS (23 CCR 12&76) S <br /> ELLDMANUFACI'URER(S) __ MODEL OSS.- _ <br /> --PROGRAMMED M LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 199.43 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a. YES ❑b.NO <br /> ELLD FAILURE/DISCONNECTIONPRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ <br /> a.YES ❑b.NO 49044 <br /> 4,FIFEINTEGRITY TESTING 49aa5 4 46490-47 <br /> TEST CY a ANNUALLY b.EVERY 3 YEARS c.OTHERS 4110.01 <br /> Lj 5.VISUAL PIPE MONITORING apNy <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MM.MONTHLY&EACH TIME SYSTEM OPERATED' <br /> •AOowedb®pilo,ie of ieMrtid Rem fuel NSC 21111. D ] <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA I23 CCR'2636(a)(3iF <br /> 7.NO REGULATED PIPING PF.R R£ALTN AND SAFETY CODE,DIVISION 20,CHAPTER&7I9 CONNECTED TO THE TANK SYSTEM <br /> 49D51 4uss <br /> .ann <br />
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