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COMPLIANCE INFO_2011-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_2011-2018
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Last modified
4/7/2021 10:16:11 AM
Creation date
6/3/2020 9:56:43 AM
Metadata
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EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_2011-2018.tif
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EHD - Public
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IFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-jPage I of 2) <br /> TYPE OF ACTION El 1.NEW PLAN 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br /> 61 <br /> N <br /> R <br /> Cli-111IM- <br /> 'N' <br /> FACILITY ID#��gmy Umo*) <br /> BUSINESS NAME(Same as FACILITY NAME)Hammer/1-5 Arco 3. <br /> BUSINESS SITE ADDRESS 3250 W.Hammer Lane 103. CITY Stockton 104. <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc-)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> (23 CCR§2632,2634,2638,2641) <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY 99.OTHER(Specify): 490-3a490-3b <br /> w <br /> F1 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. N 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)49o-4 <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: Z a.DRY 0 b.LIQUID FILLED El c.PRESSURIZED [I d.UNDER VACUUM 49" <br /> PANEL MANUFACTURER: Veeder Root 490-7. '1 MODEL#: TLS 350 490-8 <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-9 1 MODEL#(S): 794390409 490-10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 490-12. MODEL#: 490-13 <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 <br /> LEAK TEST FREQUENCY: 0 &CONTINUOUS 0 b.DAILY/NIGHTLY 0 c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 <br /> PROGRAMMED TESTS: El &0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 <br /> 0 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: E] a.36 HOURS 0 b.60 HOURS 490-21490.22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: [I a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 <br /> 490-25 <br /> El 99.OTHER (Specify): 490-26 <br /> 490-27 <br /> 44 <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:jDa DRY [Ili.LIQUID FILLED 0c.PRESSURIZED Eld.UNDER VACUUM 490-29 <br /> PANEL MANUFACTURER:Veeder Root 490-30 MODEL#: TLS 350 490-31 <br /> LEAK SENSOR MANUFACTURER: Veeder Root MODEL#(S): 794380-208 490-33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YESElb.NO 490.34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Z a.YES [I b,NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MILLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR L <br /> *36) 490-36 <br /> MLLD MANUFACTURER(S):FE Petro(High Oct)Red Jacket(Reg) 490-37 MODEL#(S): FX TV(RJ)MLD(FE) 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> 1 <br /> ELLD MANUFACTURER(S) 49040. ! MODEL#(S): 490-41 <br /> PROGRAMMED IN LINE LEAK TEST: M 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-0-2 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0&YES 0 b.NO 49043 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES [:1 b.NO 49044 <br /> 4.PIPE INTEGRITY TESTING 490.45 <br /> TEST FREQUENCY [I a.ANNUALLY [I b.EVERY 3 YEARS [I c.OTHER(Specify) 490-46 49047 <br /> -r-5.VISUAL PIPE MONITORING. 49048 <br /> FREQUENCY El a.DAILY El b.WEEKLY [I c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490-49 <br /> Allowed for monitoring of unburied emagwcy genetwor fuel piping only per HSC§25281.*)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 <br /> El 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 490-53 <br /> UPCF UST-D(12/2007)1/4 <br />
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