My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2007-2008
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
FAIRMONT
>
975
>
2300 - Underground Storage Tank Program
>
PR0231331
>
COMPLIANCE INFO_2007-2008
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/20/2023 10:36:46 AM
Creation date
6/3/2020 9:43:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2008
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2007-2008.tif
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
347
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
UNIFIED PROGRAM CONSOLIDATED MOW <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490'5 <br /> 111.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-546 <br /> ❑4.NO DISPENSERS ❑99.OTHER(Specify): <br /> PANEL MANUFACTURER: 490'55 MODEL#: 490.56. <br /> LEAK SENSOR MANUFACTURER: 490.57 MODEL#(S): 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑b.NO 490.59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ❑b.NO 490.60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 49)-61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ❑ a.YES ❑b.NO 490.62 <br /> 2.UDC CONSTRUCTION IS ❑I.SINGLE-WALLED ❑2.DOUBLE-WALLED 490'63 <br /> IF DOUBLE WALLED: 490.64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: El 1.LIQUID 2.PRESSURE 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.No 490.646 <br /> VII.PERIODIC SYSTEM TESTING <br /> 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 465. <br /> N MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 <br /> 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> IN 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.67 <br /> VIII.RECORDKEEPING <br /> The following monitoring/ 'ntenance records are kept for this facility: <br /> Alarm logs 491.68a Visual Inspection Records 490.686 Tank integrity testing results 49"8c <br /> ❑SIR testing results(and supporting documentation records). 490-M Tank gauging results(and supporting documentation records). 49a68e <br /> ❑ATG Testing results(and supporting documentation records).490 ar ❑ Corrosion Protection 60-day logs 4go-6&g <br /> Equipment maintenance and calibration records. 490.68h <br /> IX.TP,41NING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br /> REFF,RENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490.696 <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49"k <br /> CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.69d <br /> CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69e <br /> STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"491.69f <br /> SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g <br /> ❑ OTHER(Specify):M69h.M69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices <br /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> • The facility employee's role with regard to spills and overfills as specified in the UST Response Pian <br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490-70 <br /> X. COAWTM&ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> Alarm sounds when tank is 90% full <br /> M.PERSONNEL RESPONSIBIUTIES <br /> The UST Owner/Operator is responsible for ensuring that:I)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The following person(s)are responsible for performing the monitoring and equipment maintenance: <br /> NAMERandv Roehri h 4go-72 TIME Maintenance Su ervisor 490-73 <br /> NAME 497-74 TITLE 490-75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> X]EI.OVVNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I ce that ft information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNAT 497-76 DATE: 490-77 <br /> APPLICA NAME(print): 490.78 APDL CANT TITLE: 490-79 <br /> UPCF UST-D(12/2007)314 [(� <br />
The URL can be used to link to this page
Your browser does not support the video tag.