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COMPLIANCE INFO_2002-2009
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2002-2009
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Last modified
2/27/2023 4:51:25 PM
Creation date
6/3/2020 9:44:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2009
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2002-2009.tif
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> Sob <br /> 'l/`lJti( ❑ 1.CONTINUOUS ELECTRONIC MONITORING �.2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑ 4.NO DISPENSERS ❑99.OTHER(Specify): <br /> PANEL MANUFACTURER: ago-ss I MODEL#: x90 56. <br /> LEAK SENSOR MANUFACTURER: 490•57 i MODEL#(S): 490-59 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES Nf b.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES Wb.NO 490-60. <br /> F Or tMeGGERS AUTOMATIC PUMP SHUTDO a YES b.NO 490.61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ❑ a.YES b.NO 490-62 <br /> 2.UDC C <br /> IF DOUBLE WALLED: 490.64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: 1.LIQUID 0 2.PRESSURE 0 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490-64b <br /> VII.PERIODIC SYSTEM TESTING <br /> ❑ 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. <br /> LEAK DETECTION ELD 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. 49°66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 <br /> VIII.RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> Alarm logs 490.68a D,Visual Inspection Records 490-68b 12.Tank integrity testing results 490-68c <br /> SIR testing results(and supporting documentation records). 490.68d ❑ Tank gauging results(and supporting documentation records). 490-68e <br /> PZATG Testing results(and supporting documentation records).49o-68f ❑ Corrosion Protection 60-day logs 490-68g <br /> Equipment maintenance and calibration records. 490.68h <br /> IX.TRAINING <br /> tff Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br /> ERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69e <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"490-69f <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 Plan <br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490.70 <br /> . COMMENTS/ADDITIONAL INFORMATI <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 /> RWONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST leak detection equip red 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 /> NAME 490-72 TITLE 490-73 , <br /> 490-74 TITLE 49 <br /> The Designated Operator shall perform a monthly visual inspection o etheowner/o erator, and inform the o r of any <br /> conditions that need follow-up action. <br /> R/OPERATOR SIGNATURE <br /> CERTIFICATION:I at tgjWrrination provided herein is rti;and accurate to the best of my knowledge. <br /> APPLICANT SIGNAT 490-76 DATE: avo•77 <br /> REPRESENTIN Q❑1 Tan}:Owner rat tN Owner ve of Owner <br /> APPLICANT NAME(printl: 490-78 APPLICANT TITLE- 490.79 <br /> �GtS�el Fly( ,�^� Droner <br /> UPCF UST-D(12/2007)314 <br />
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