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BILLING_PRE 2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231665
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BILLING_PRE 2019
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Entry Properties
Last modified
12/13/2023 4:44:20 PM
Creation date
11/7/2018 4:53:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231665
PE
2361
FACILITY_ID
FA0003714
FACILITY_NAME
LACHHAR CHEVRON*
STREET_NUMBER
334
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26115041
CURRENT_STATUS
02
SITE_LOCATION
334 E MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\334\PR0231665\BILLING 1985 - 2004.PDF
QuestysFileName
BILLING 1985 - 2004
QuestysRecordDate
3/3/2017 12:45:56 AM
QuestysRecordID
3347324
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUNDSTORAGETANK <br /> MONITORING PLAN- Pae 1 of 2) <br /> TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 49.1. <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 49x4_ <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) O 0 _ O 0 0 - 0 0 0 0 0 0 r <br /> BUSINESS NAME(Same as Facility Name or DBA) 3. <br /> Chevron Station#91452 <br /> BUSINESS 844E ADDREss 'Ty334 EAST MAIN STREET 103 'RIPON CA 95366 �� <br /> R <br /> H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified <br /> by the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR§263;2634,2638,26411 <br /> MONITORING EQUIPMENT IS SERVICED ® L ANNUALLY ❑ 99.OTHER(Specify): 490.31 <br /> 490.36. <br /> IH. MONITORING LOCATIONS <br /> ❑ L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED I23 CCR§2632,26341 4904_ <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS (Checkoll <br /> METHOD(S) <br /> that apply) <br /> ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.5, <br /> WITH AUDIBLE AND VISUAL ALARMS.123 CCR§202,26341 <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49e6. <br /> PANEL MANUFACTURER: Veeder-Root 490'1 MODEL#: TLS-350 Plus Series-8470 490'8_ <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 99. MODEL#(S): Llauld Sensor Series 794390-409 490-10. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).123 CCR 626431 490-11. <br /> PANEL MANUFACTURER 490-12. MODEL#: 490.13. <br /> IN-TANK PROBE MANUFACTURER 490-14. MODEL#(S): 49x15. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS .DAILY/NIGHTLY c.WEEKLY 490-16' <br /> ❑ d.MONTHLY ❑ e.OTHER(Spccify): 490.17. <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 4yo 013. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION 123 ccit§2646.11 490-20. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR J26451 TESTING PERIOD: ❑ a.3614OURS ❑ b.60 HOURS49.21. <br /> _490.22. <br /> ❑ 5.TANK INTEGRITY TESTING PER 123 CCR§2643.11 49°23. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 4904w-24. <br /> E] 99.OTHER(Specify); 42.26 <br /> 9 4]. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) r' <br /> °ok ) <br /> ❑ 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 4'"1-29 <br /> ID CCR SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 32049 <br /> §26361 <br /> PANEL MANUFACTURER: 490-30 MODEL#: 49.31. <br /> LEAK SENSOR MANUFACTURER: 49.32_ MODEL#(S): 49.33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e,TURBINE)SHUTDOWN. ❑ a.YES ❑ b.NO 49°34. <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49035. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.b.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49.36 <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.In CCR§26361 <br /> MILD MANUFACTURER(S): 490'31 MODEL#(S): 49.38. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 490-39. <br /> ELLD MANUFACTURER(S): 490°0 MODEL#(S): 49041. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49042. <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043_ <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49.44. <br /> ❑ 4.PIPE INTEGRITY TESTING. 48.x5. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 4493.46 <br /> ❑ 5.VISUAL PIPE MONITORING. 49 18. <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED. 49 9, <br /> •,umsl4 r«nommd or«n«i4a a,4re1o.r1�1 � an1. ,xsc zs281s 3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2636(1)(3)1 49.50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49.51. <br /> ❑ 99.OTHER(Specify) 4904-53. <br />
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