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COMPLIANCE INFO_2004-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231876
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COMPLIANCE INFO_2004-2012
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Last modified
10/15/2024 4:32:43 PM
Creation date
6/3/2020 9:54:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2012
RECORD_ID
PR0231876
PE
2361
FACILITY_ID
FA0000421
FACILITY_NAME
DINO MART
STREET_NUMBER
1001
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1001 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231876_1001 E YOSEMITE_2004-2012.tif
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EHD - Public
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NUN, <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN e 2 of 2) <br /> VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> 490-546 <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑4.NO DISPENSERS 099.OTHER(Specify): <br /> PANEL MANUFACTURER: 0-90-88 MODEL#: 490 56. <br /> LEAK SENSOR MANUFACTURER: 490-57 1 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 490-61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ❑ a.YES ❑b.NO 490-62 <br /> 2.UDC CONSTRUCTION IS ❑1.SINGLE_WALLED ❑2.DOUBLE-WALLED 490-63 <br /> IF DOUBLE WALLED: 49D 64a <br /> UDC IlVTERSTITIAI,SPACE IS MONITORED BY: ❑1.LI UID ❑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 490-65- <br /> LEAK DETECTION DMUST 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 /> ❑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 490-6&a ❑Visual Inspection Records 490.686 ❑Tank integrity testing results 49oasc <br /> ❑SIR testing results(and supporting documentation records). 490668d ❑ Tank gauging results(and supporting documentation records). 490-68c <br /> ❑ATG Testing results(and supporting documentation records).490-68f ❑ Corrosion Protection 60-day logs 490-68g <br /> ❑Equipment maintenance and calibration records_ 490-68b <br /> IX.TRAINING <br /> ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 49"% <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILfIY(Check all that apply) <br /> ❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> ❑ OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4%.69c <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"490.699 <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 specked 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.490-7o <br /> X. COMMENTS/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 /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that 1)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 followin (s are respons' a for perf ng the monitoring and equipment maintenance: <br /> NAME 490.72 TTME - f 490-73 <br /> NAME 490-74 TITLE r 0-90 75 <br /> The Designated Opiraffir shall perform a monthly visual inspection of the facility,provide a report to the o er/o tor,and infirm the erlope for of any <br /> conditions that need follow-up action. <br /> XII.OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify 4t the information provided is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE 490-76 DATE: 77 <br /> REPRESENTINCr. wnedompior 3.A ori 'v of Owcer <br /> APPLICANT AME(print): a 490-78 APPLICANT TITLE: J90-79 <br /> UPCF UST-D(12/2007)3/4 <br />
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