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COMPLIANCE INFO_2010-2018
Environmental Health - Public
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PR0515864
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COMPLIANCE INFO_2010-2018
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Last modified
12/29/2023 10:44:40 AM
Creation date
6/3/2020 10:00:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0515864_1330 E YOSEMITE_2010-2018.tif
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EHD - Public
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NIFIED PROGRAM CONSOLIDATED FORMNW <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a <br /> 490-54b <br /> 1,CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑ 4.NO DISPENSERS ❑99.OTHER(Specify): <br /> PANEL MANUFACTURER: d' eGko, oago-ss MODEL#: ' 490-56. <br /> LEAK SENSOR MANUFACTURER: 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 49060. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. .a.YES ❑b.NO 490-61 <br /> UDC MONITORING STOPS THE FLOW OF PRODU( kT THE DISPENSER. jAl a.YES ❑b.NO 490-62 <br /> 2.UDC CONSTRUCTION IS 01.SINGLE-WALLED RUBLE-WALLED 490.63 <br /> IF DOUBLE WALLED: 490-64a <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: 0 1.LIQUID 2.PRESSURE 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 /> I. 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. <br /> SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 <br /> VIII.RE ORDKEEPING <br /> rAfollowing monitoring/maintenance records are kept for this facility: <br /> larm logs 490.68a ❑Visual Inspection Records 4go-6sb 'mk integrity testing results 490.68c <br /> sting results(and supporting documentation records). 490.68d ank gauging results(and supporting documentation records). 490.68e <br /> Testing results(and supporting documentation records).49068f tioffosion Protection 60-day logs 490-68g <br /> fivAuipment maintenance and calibration records. 490.68h <br /> IX.TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br /> F RENCE 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.490-7o <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 /> � a� K s l _ h e 9-7 9 ,iF> s ay 1,� C��o Io�,U `b <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 following person(s)are responsible for performing the monitoring and equipment maintenance: <br /> k NAME 490-72 TITLE X 490-73 <br /> NAME 490-74 TITLE 490-75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> In XII R/OPERATOR SIGNATURE <br /> CERTIFICAT i thoAth,inf ' n rovided herein is true and accurate to the best of myJm9KvIedge. <br /> APPLICANTS N 490-76 DATE: 490.77 <br /> 17 <br /> p I Tank Owner/Operat1h2.Favi-n- er/O raz r 3.Authorized Reyr <br /> APPLICANT N rint): 490-78 APPLICANT T27�, 490-79 <br /> UPCF UST-D(12/2007)3/4 <br />
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