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COMPLIANCE INFO 2010 - 2013
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 2010 - 2013
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Last modified
8/19/2019 4:52:21 PM
Creation date
8/19/2019 4:16:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2013
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I O/OIi/%'0l T oil' o f r4;1 'NATP.r Inn I nnri hint -T fro r'.'o I' ooa/o lh <br />UUD PROGRAM CONSOLIDATED FC <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - (Pae 1 of 2 <br />TYPE OF ACTION1" NEW PLAN ❑ 2. CHANGp OF INFORMATION a90I. <br />PLAN TYPE frl. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490.2 <br />(Check one item on(v) ❑ 2_ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />"�'. ItrH%IILi i Z lJ.��'vnlrrEi i ivir <br />FACILITYn47 We y <br />. <br />AU01zirDO t •.t.cc fX- NC..FID. t) <br />l CL> is <br />BUSINESS SITE AD RES n tc; <br />ADC <br />V <br />CI 104 <br />H. EQWMENT`TESTING AND PREVENTIVE MAINTENANCE <br />Trtctmg. rn:vrntive. maintenance, and calibration of monitoring equinment (a e. cemgnm probes. lime leak detectom etc.) must be Derformed at the f-equencv -mcified <br />by dre!!quint nmT1ufacturei3'winstm-etigm, or annually, whichever is re Trcgn t- Such work must be pwfotmcd by uc ualificd Emonncl" [z3 cer,gwy-, za3e, za3a, 2wi7" <br />_. <br />MONITORING EQUIPMENT IS SERVICED 1" ANNUALLY 99.OTHERS i 490.30, <br />❑ (Spn4): 49W;. <br />uL MONIrO G LOCATIONS... <br />Ell. NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBM[TTFD (73 CCR §262.2634] 490 a" <br />/t IV. TANK M4NTTIVCORTIS FFRFORMETf jTSTN(T TAF.FnT.T.()WTfV(i MF,TAnT3(fi) (Check all <br />SlJus <br />annlvJ <br />t t: iQNTINIJ ; TT"C FI.IRCTRCMM. TANK NWPOTORTNt-i OF 44Nl ii,.Ak (i'NTF.RRTTTTAT.)-,PAt:F(`) OR SF.CY)IVT)ARY C.C7NTAMINFF.NT VATTT.T(S) +?o -s. <br />W LTH AUDIBLE AND VISUAL ALARMS. [23 CCR 3262, 2s34] <br />Vh <br />SECONDARY CONTAINMENT IS: a DRaY LIQUID FILLED ❑ c. PRESSURIZED ] d- UNDER VACUUM 49"' <br />PANEL MANUFACTURER: V(kJ4%-k -ank- 490.7. MODEL 4: ,� - 7 ^C 490-8' <br />LEAK SENSOR MANUFACTURER; TRI JZ7,no MODEL #(S); 4ca10. <br />_4904 <br />2. AUTObiAT7C TAT T5C GAUGTNG (ATG) SvSTEM USED T'O MONITOR SmGLE WALL T aNrr[S). ,u ccR gauJl 4on i <br />PANEL MANUFACTURER: 490-12• MODEL #: 496 i3. <br />IN -TANK PROBE MANUFACTURER: 490.14. MODEL #(S): 490.15. <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490.76" <br />❑ d. MONTHLY ❑ e. OTHER (Specify); 40Q17" <br />0,90,18.PROGRAvMED TESTS: Da. 0" I s -p -h" ❑ b. o.z , ,I. c" OTHER(S �� <br />490-J9. <br />❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [3 ccR §2646.1] 490-20 <br />❑ 4. WEEKLY MANUAL TANK GAUGING MTG z3 ccx sz6a TESTING PERIOD: ❑ a" 36 HOURS 490,21. <br />( ) [ a 53 ❑ b. 60 HOURS <br />1-1 5" TANK 11,rMGR= TG4TI1,TC PER ry oca. 4901-23. <br />- TEST FREQUENCY: ^ - �[j a- ANNUALLY ❑ b. BIENNIALLY © 4%:-4.c. OTHER (Specify): 490-25. <br />❑ 99- OTHER (Specify): 490,26. <br />490.27 <br />0=k aU <br />v.. PIPE MONITORING.IS:PERFORMED_USING..THE.FOLLOWING METHOD(S) <br />I" CONTINUOUS MONITORING OF PIPE/PIPENG SUMP($) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490.28. <br />ccx <br />3 I SECONDARY CONTAINMENT IS; ❑ a. D Y �bL. LIQUID FILLED ❑ c_ PRESSURIZED UNDER VACUUM 49° 2x. <br />PANEL MANUFACTURER: C 490-30 MODEL #: 3 "�� 490-31. <br />/- <br />490 -13 - <br />LEAK SENSOR MANUFACTURER 49032_ MODEL #(S):EO q Z,=j <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e", TURBINE) SHUTDOWN. -a_ yEtQ b, NO 49Q-;4 <br />,J <br />FAILURE/DISCONNECT(ON OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN, 0" YES ❑ b. NO 490.35" <br />❑ 2_ MECIiANIC-AL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3"0 g_ph_ LEAK TESTS AND RESTRICTS OR SHUTS OFF�41436. <br />PRODUCT FLOW WHEN A LEAK IS DETECTED_ [23 =j2ri36) <br />MLLD MANUFACTURER(S): 10.37' MODEL S : 49038 <br />LID,i P.T.Pi :TRiltV7f. F.71v P. 1'.tr Alt tertw'.tt'neknt. t t+} ItIAI ui IIttNL;1..V Vf••i!Yl lilM> A d1IIph,[,yalf <br />ELLD MANUFACTURER(S): qi 0,/6 6f 49040 MODEL #(Sy: SQ p �� 490-41. <br />PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0"2 &p -h. ❑ b. MINIMUM ANNUAL 0, [ g.p.h. 69042. <br />ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHU'T'DOWN" &a, YES ❑ b_ NO 490°3- <br />ELLD FAILUREIDISCONNECTION TRJGG£RS AUTOMATIC PUMP SHUTDOWN. ff a" YES [j b. No 490 `4• <br />❑ 4. PIPE INTEGRITY TESTING" - 49045. <br />TEST FREQUENCY_ ❑ 2- ANNUALLY [3b_ EVERY 3 YEARS ❑ c. OTHER (Specify) <br />_ _ _ _90-46 <br />�" <br />4 4 <br />❑ 5. VISUAL PIPE, MONITORING, 49!) 4$ <br />FREQUENCY: ❑ - DAILY ❑ b, WEEKLY [_I o. M1N" MONmmy & r cu TiML *YZ3-FEMOPERATED- 190 4�1- <br />.4flmved for tMlaitilrin� uabtaie8 me¢elcy pcnaator fuel DkDi4R OuIY Per }i5C�2528i,j[b 5 <br />_ <br />j 0. aUL: I WN Y31.1NZ,P ML1;1 J hAhMt'I LUN CRfTE,KIA. (23 CCR §z636(sX3)I <br />❑ 7" NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO TTTE TANK SYSTEM, 400-51 <br />❑ 99. OTHER (Specify) - _- Ago. -52. <br />450 53. <br />UPCF USI' -D (17/2007) -114 www.umidoes.org <br />
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