My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2003-2007
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WEST
>
7272
>
2300 - Underground Storage Tank Program
>
PR0231939
>
COMPLIANCE INFO_2003-2007
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/14/2023 10:55:58 AM
Creation date
6/3/2020 9:55:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2007
RECORD_ID
PR0231939
PE
2361
FACILITY_ID
FA0002570
FACILITY_NAME
QUIK STOP MARKET #3144
STREET_NUMBER
7272
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
094-040-13
CURRENT_STATUS
01
SITE_LOCATION
7272 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231939_7272 WEST_2003-2007.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.
/
314
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
0 A <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-PAGE 1 <br /> TYPE OF ACTION ❑ 1.NEW PLAN Wr2.CHANGE OF INFORMATION Mot. <br /> PLAN TYPE irmoNrroim IS IDENTICAL FOR ALL UST,AT THIS FACILITY. Mcg• <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) F A - 0 0 0 - 2 5 7 0 <br /> FACILITY Quik Stop Market#144 M03. <br /> FACILITY SITE 7272 West Lane M04. CITY Stockton,CA 95209 Mos. <br /> H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06• <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED el.ANNUALLY ❑ 99.OTHER(Specify): MOT <br /> III. MONITORING LOCATIONS <br /> This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, <br /> line leak detector,mortitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification <br /> form,Hazardous Materials Business Plan M,etc.)which shows all Mquired information,include it with this plan. <br /> IV. TANK MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M10. <br /> ei.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITTAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: a a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M" <br /> PANEL MANUFACTURER: Veeder Root M12• MODEL#: TLS-350 M13. <br /> LEAK SENSOR MANUFACTURER Veeder Root 10114. MODEL#(S): 794390407 MI5. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKS) <br /> PANEL MANUFACTURER: MIS. MODEL#: M17. <br /> IN-TANK PROBE MANUFACTURER: MIB. MODEL#(S): M19. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. <br /> ❑ d.MONTHLY ❑ e.O (Specify): Mat. <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. b.0.2 g p.h. ❑ c.OTHER(Specify): M22. M23. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M2& M27. <br /> ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(aequim gpwy o-0 <br /> ❑ 99.OTHER(Specify): Mea. <br /> V. PIPE MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mac. <br /> I� t.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYMNCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: ea.DRY ❑ b.LIQUID FILLED ❑ ..UNDER PRESSURE ❑ d.UNDER VACUUM Mat. <br /> PANEL MANUFACTURER Veeder Root M32. MODEL#: TLS-350 M33. <br /> LEAK SENSOR MANUFACTURER Veeder Rant M34. MODEL#(S): 794380-208 M35. <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ,,.,,ra.YES [Ib.NO M36. <br /> ,_/ <br /> WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? q� a.YES [Ib.NO Mar. <br /> l� 2.MECHANICAL LINE LEAK DETECTOR (MLL.D) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br /> MLLD MANUFACTURER(s): VNNrless&Red Jacket Mas• MODEL#(S): 99L.D2000&FX M39. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS <br /> ELLD MANUFACTURER M40. MODEL#: M41. <br /> PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g p.h. M42. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO 1443. <br /> WILL ELLD FAIL.URF/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. <br /> ❑ 4.INTEGRITY TESTING <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. <br /> ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. <br /> •Ism- y wix-M, "Allowed for nmko via of unbwiod anug=7 genautw Cad p g oaty per HSC§25281.5(bx3) <br /> ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(ax3) <br /> ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br /> ❑ <br /> 99.OTHER(Specify) M48. <br /> SJCEBD-d(07/03)-1/4 07/23/03 <br />
The URL can be used to link to this page
Your browser does not support the video tag.