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COMPLIANCE INFO_2013-2016
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2013-2016
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Entry Properties
Last modified
10/18/2023 9:06:11 AM
Creation date
6/3/2020 9:56:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2016
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1777\PR0232397\MODIFICATION APPROVAL PLAN 2014.PDF
QuestysFileName
MODIFICATION APPROVAL PLAN 2014
QuestysRecordDate
11/16/2016 4:57:02 PM
QuestysRecordID
3258884
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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VI.UDC MONITORING—Check the appropriate box(es)to describe monitoring of UDC systems covered by this plan. <br /> x, <br /> 411 4U <br /> �.. ..., <br /> Formatted Table <br /> 4122 21M, <br /> UDC MONITORING METHOD(S)—Check the appropriate box(es)to identify all required methods used for monitoring the area(s) <br /> beneath the dispenser(s). Check item 490-54a-1 if the UDC is monitored by a leak sensor connected to a continuous monitoring console <br /> with audible and visual alarms. Check item 490-54a-2 if the UDC is monitored by a mechanical device that shuts the dispenser's shear <br /> valve when liquid in the UDC lifts a leak detection float.Check item 490-54a-3 if the UDC is monitored by a stand-alone leak sensor <br /> that is not connected to a continuous monitoring console.If no dispensers are installed(e.g.,emergency generator tank system),check <br /> item 490-54a-4 and skip to Section VII. Check item 490-54a-5 if the UDC is monitored by other methods. <br /> SPECIFY—If item 490-54a-99 is checked,enter a brief description of the other UDC monitoring method(s)used. If more space is <br /> needed,use Section X. Be sure to clearly describe monitoring method(s)and frequency. <br /> LEAK MONITOR MANUFACTURER—If item 490-54a-1 is checked,enter the name of the manufacturer of the monitoring system <br /> control panel(console). <br /> MODEL#—If item 490-54a-1 is checked,enter the model number for the monitoring system control panel. <br /> Font: 7.5 pt <br /> LEAK SENSOR MANUFACTURER—If item 490-54a-1 or 490-54a-3 is checked,enter the name of the manufacturer of the sensor(s)., <br /> If more space is needed,use Section X. <br /> MODEL#(S)—If item 490-54a-1 or 490-54a-3 is checked,enter the model number for each type of sensor installed.If more space is <br /> needed,use Section X. <br /> Font: 7.5 pt <br /> WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS?—Check Yes or No. <br /> WILL UDC LEAK ALARM TRIGGER PUMP SHUTDOWN?—Check Yes or No. <br /> PBgse <br /> -1,00 Greg Snc�sr , , , : )2212E�3 iis��r J1M." <br /> Font: 7.5 pt <br /> WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER SHUTDOWN?-Check Yes or No. <br /> Font color:Auto <br /> be <br /> WILL UDC MONITORING EQUIPMENT STOP THE FLOW OF PRODUCT AT THE DISPENSER UPON LEAK DETECTION?— <br /> Check Yes or No. <br /> UDC CONSTRUCTION—Check the appropriate box to indicate whether the UDC has single wall or double wall construction.If you <br /> check item 490-63-1,skip to Section VII. <br /> Ili, 10itr <br /> Font: 7.5 pt <br /> ... M . <br /> UDC INTERSTITIAL SPACE IS — If you check item 490-63-2, check the appropriate box to describe the type of <br /> vacuum/pressure/hydrostatic(VPH)monitoring provided for the UDC secondary containment. <br /> 1J2�" �ta22:t>�TAM <br /> Formatted Table <br />
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