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COMPLIANCE INFO_2006-2011
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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PR0231070
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COMPLIANCE INFO_2006-2011
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Last modified
2/22/2023 1:52:51 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2011
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2006-2011.tif
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EHD - Public
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01/05/2007 16:10 92597904.7 CFSI PAGE 03/03 <br />UNDERGROUND STORAGE TANK <br />MONITORING FLAN — PAGE 2 <br />VI. DISPENSER MONITORING <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Chock all that ably) M`° <br />1. CON'TTNUOUS l.I.ECTRONIC MONTCORiNG OF UNDI R DISPCNSER CON'rAINMFN1' (UDC) <br />PANELMANUFACTURER' VeederRoot Msl' MODEL 9: TLS -3508 Mst. <br />LEAK SENSOR MANUFACTURER; Bravo MS:i' MODEL "(0. Nam -an -AR M`J. <br />WILL DETECTION OF A I_F.AK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ® a. YES ❑ b. NO Mss. <br />WILI. A UDC LF,AK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a, Y5S ❑ b. NO Ms" <br />WILI, FATLURErDiSCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 19 a. YES ❑ b. NO <br />❑ 2. MECHANICAL CONTTNI.K)US MONITORING (e.g,, FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE iN CASE OF LEAK <br />MANUrACT11RFR: ' MODELl1(S)' Ms9. <br />❑ 3.VISUAL MONITORING DONE ❑ a. DAILY ® b. WFE>GI.Y M°a' <br />❑ 4. NO DISPENSERS <br />❑ 99. OTHER (Specify) Mat. <br />VII. ENHANCED LEAK DETECTION <br />❑ 1. WE HA VE SEEN N01.11.1171) BY T14E STATE WATER RESOURCES CONTR01. BOARD THAT WE MUST PERFORM ENHANCED LEAK M70. <br />DETECTION (F..I,D) FGR THE UST(S) COVERED BY THIS PIAN, PFR 23 CCR §2644.1, ELD iS PERFORMED EVERY 36 MONTHS AS RF.QI,IiRED <br />VIII, TRAINING <br />REFERENCE DOCUMENTS MATNTA TNED AT FACILITY (Check all that apply) man. <br />I. ® TI -98 UNDERGROUND STORAGETANK MONITORING PLAN (Required) <br />2, OPERATTNG MANUALS FOR Fl,,ECTRONiC MONITORING EQUIPMENT (Required) <br />3. THE FACILITY'S BEST MANAOEMENT PRACTICES (RequirCti afo of 3anuary 1, 2005) <br />4. ❑ CALIFORNIA UNDERGROUND STORAGE TANK RUGUILATIONS <br />5, ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />b, I] STATE WATER RESOURCES CONTROL BOARD (SWRCiS) PUBLICATION: "HANDBOOK FOR'TANK OWNERS - MANUAL AND STATISTICAL <br />INVENTORY R5CON<:ILIATION" <br />7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br />Mt1. <br />99. ❑ OTHER (Spocify): <br />Persormol with t 1ST monitoring responsibilities ate familiar with all of the above documents relevant to their job dudes and cat+ access thou documents when needed. <br />By Januory 1, 2005, this tLcility will hove o "Designated UST Opcmtoe' who hos passed the California UST System Operator Exam administered by the ilrtemational Code <br />Council (iCC). By July 1, 2005, and Rnnuslly thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST <br />systems. This training will include, but is not limited to, the fallowing: <br />> Opem;ion of the UST systems in a manner consistent with the facility's best management practices. <br />Y The lacitity, employee's role with tepM to the leak detection equipment. <br />D The Iheility employee's rale with regard to spills and overfills. <br />Whom to contact thr cmergcmics and teak detection alamts, <br />For facility employees hired on or after July 1, 2005, the initial training will be conducted within 30 days of the date orhim, <br />TX. COMMENTS/ADDI'I'iONAL INFORMATION <br />Piease tote this section to include any additional UST system monitoring -related information (e.g., additional inthrmation required by your local agency)' MAS. <br />Over Fill Prevention Device- Electrical over fill alarm is connected to the Vedeer Root System in additom to the <br />Sal I Float that is set at 90 %. <br />- — X. PERSONNEL RESPONSIBILITMS <br />AS OF JANUARY 1, )UOS, TUE "DESIGNATED UST OPERATOR" IDENTIFIED iN SECTION TTI OF THE CURRENT UST OPERATING PERMIT APPLICATiON — <br />FACILiTY FORM WiLL HAVE U1.,TiMATE AUTHORITY FOR PERFORMING T1TF MONITORING AC7TiVITIES AND MAINTAINING LEAK DM- CTTON <br />FQI)iPMENT COVERED BY TH1S PLAN TITLE 23 CCR $ 2715(c), AND WILL PERFORM AND DOCUMF,NT MINIMUM MONTHLY VISUAL INSPECTIONS OF TNF <br />FACILITY'S UST SYSTEMS IN ACCORDANCL• WIT14 23 CCR 2715(c), <br />XI. OWNER/OPERATOR SIGNATURE <br />CERTiFiCA'iTON: I cgffy that the ' formatio rovided herein is true and accarate to the best of my knawlaiRa <br />OWNER/OPERATOR 5 TUBE REPRESSN71 0, DATE; M0j' <br />ISD darter M911. <br />❑ Operator Janus 5 2007 <br />OWNER/OPERATOR NAME (print): : O�MVOPERATOR. TiTLE: <br />Mike Ahmadi I Je &Z -5104Z A/ <br />(Agen. tv use Or (v) This plan hm bctn mviewed and: Approved ❑ Approved With Conditions g ❑ Disappmved <br />l,oenl Agency Signature 1 <br />Cornment-9/SpocialConditiona�-- <br />hwfwm-d (90,1104) - 23 <br />
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