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BILLING 2010 - 2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PATTERSON PASS
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25775
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2300 - Underground Storage Tank Program
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PR0231708
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BILLING 2010 - 2015
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Entry Properties
Last modified
12/4/2023 1:11:05 PM
Creation date
2/26/2019 11:41:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2010 - 2015
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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Mar 071011:10a ArPminimartp 2098352297 p.5 <br /> UNIFIED PROGRA1Nt CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page I oft <br /> TYPE OF ACTION 1.NEW PLAN ❑ 2,CHANGE OF INFORMATION 490-; <br /> PLAN TYPE I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTE-M(S)- <br /> I. FACILITY INFORMATION <br /> FACILITY ID 9(Agency Use Ojt4 _ I <br /> BUSINESS NAME(Same as FACILITY NAME) HAP 1 r' 1!Gln "7 ' <br /> BUSINESS SITE ADDRESS -7'75 s 103 CITY 10� <br /> 1I,EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE V . <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.&,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 63 CCR X2632,2634.2633,2641L-�� <br /> MONt'fORING EQUIPMENT IS SERVICED I_ANMJALLY- ❑ 99.OTHER(Specify): _ - -�� 499.31 <br /> III.MONITORING LOCATIONS 4404b <br /> 1.NEW SCI ,PLOT PLAN lJ IAP SUBYIITTED WITH TINS PLAN. 2.SITE PLOT PL:LNI.%tAP PREVIOUSLY SUBAIITTED. (23 CCR§2632, <br /> 2634)4gar <br /> 1V.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 19 I.CONTINUOUS ELECTRONIC TANK MONITORING OFA\NC LAR(INTERSTITIAL)SPACE(S)OR SECONDART-CONTA INTI ENT 4-• <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632.2634) <br /> SECONDARY CONTAINMENT IS: -a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d. UNDER VACUUM .400-6 <br /> PANGL MANUFAC7[�RER: - - 410 i. -- - <br /> -----------------•---•------------------ �-- �..�OO�_�-_-----•- hIODEL#: TL..rJ �� z<.o•a <br /> -_ - - - <br /> LEAK SENSOR MANUFACTURER: -_..•----... <br /> 90.9. MODEL#(S): O 49U-IO <br /> 2.AtITONIATIC TANK G.ACIGI`G(ATG)SYSTEM USED TO 110NITOR SINGLE WALL TANK( (23 CCR§2613) 490-:1 <br /> ?ANEL MANUFACTURER: 490-12. MODEL#: <br /> --- -.�__-- __- --------------- - -- - -------•------ -- - -- - <br /> IN-TANK PROBEMANUFACTURER; J90_l�' MODEL#(S): 4'x-15 <br /> LEAR TEST FREQUENCY: - ----El b•--• •---------•-•---- <br /> Q ❑ a.CONTINUOUS ••---••-----•------ •-----•-----•---•--•--------._ <br /> ❑ b.DAJLYINIGI-A. -"�i�tii-ib <br /> ❑ c.WEEK <br /> ---- - - -- - -- - [] d.MONT14Ly - - ------- - e.OTHER(- ------ Specifv):-----=-- ii490-1; <br /> ❑ <br /> -- PROGRAMMED TESTS: Cl a.0.1 g.p.h. ❑ <br /> c.b.0.2 g.p.h. --- --- -- _ sn=Iii' <br /> ❑ OTHER(Specifv): - 4n0-t1 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): ' �}'( Znv e,vFt�r :90.20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING,(MTC)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS 490 zl <br /> 5. TANK INTEGR1Tl TESTI\G{23 CCR§2643.1}: ❑ b.60 HOURS 42, <br /> TESTFREQUENCY: ❑ ,.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERS _90.23 <br /> (Specify): 490.24 <br /> 49C•25 <br /> ❑99.OTHER (Specify): <br /> 490-26 <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS Check all that apply) <br /> I <br /> . <br /> CONTINUOUS V10YlTOR1NG OF PIPFJ PIPING SLI 11P(5)AND OTHER SECONDARY COrNTA[NlbiE\T(��fTH,AUDIIKLE-'k.'D hp y) 4a os <br /> ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:ffia DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM <br /> ----•---------••--------------------------••----•---------------PRESSURI'-----Od.U--'•--•-•- 4%-29 <br /> PANEL MANUFACTURER: 1/Qtd�r f OOt 49 0..30 ; . --------------_---_".---__-.--_-•• - <br /> ---_ -- ---------- ; MODEL I?:1 -3"Sz) 490-31 <br /> - - --- -_--_ - - --- ---------------- -- - - --------•-•-•••-- - <br /> -LEr1KSENSOR MANUFACTURER_ V <br /> PIPING LEAKALARM TRIGGERS AUTOMATIC IC PUMP(i.c.,TURBINE)SHUTDOWN, J MODEL n(Sj: 490-3� <br /> - - <br /> a 490-34 <br /> 1=AILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHLTDO%-N. f'�a.YES ❑b.NO <br /> 2.;VJECRANICAL LitiE LEAK DETECTOR(AILLD)7'FIAT ROUTINELY PERFORMS 3.0 h.LEAK TESTS AND R ss <br /> PRODUCT FLOII IYHEN A LEAK IS DETECTED 23 CCR 2G3i g p' ESTRIC FS OR SHOTS OFF <br /> ------------ <br /> MLLD MANUFAC FIJRER(S): - ---- ----- -- _ ------------------------------. 410-36 <br /> 490aT ( ) --------- 4 <br /> MODEL#[S): 490-sa. <br /> 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h-LEAK TESTS 23 CCR 2636 <br /> ELLD MANUFAC7'URER(S) tr - ---- <br /> 4 -40. <br /> 9039 <br /> ------------------------- <br /> PROGRAMMF-D IN LILAC LEAK?CST: ---Op- -- - - t MODEL{(S): L{ B <br /> 1.MINIVIIJ,41 MONTHLY 0.2 gp.h. - -- -- <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ 2 MINIMUM ANNUAL S g.p.h. 496.42 <br /> ELLD FAILUREiDISCONNECTION TRIGGERS AUTOMATIC PUMP SlIUTDOWN. �a•YES ❑b.NO +10-+3 <br /> ❑ 4.PIPE INTEGRri'Y TESTING 4-3.15 a.YES ❑b.NO =90 4 <br /> TEST FRE UENCI' ❑ a.ANNUALLI' ❑ b.EVERY 3 YEARS c.OTHER(S eci q <br /> Lj S. VISUAL PIPE 1[ONITORING. 4i0�ba5i/.4i <br /> FREQUENCY ❑ a DAILY [] b.WEEKLY ,• 49048. <br /> •tlkw�d for monNb' of u lr4red ma eenwatoe fuel i(wn�y a�HN.`IONT,�II 225231.W3&EACH TIME SYSTEM OPERr1TED• <br /> ❑ 6.SUCTION PIPING MEETS EXEA4PTiON CRITERIA j23 CCR g2636(a)(3)�. atU_9 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO ITIE TANK SYSTEM 490-�0 <br /> 49J-5t <br /> ❑ 99.OTHER(Specify) <br /> -- 490.52 <br /> UPCF UST-0(22!2007) 114 <br />
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