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COMPLIANCE INFO_2005-2010
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2005-2010
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Last modified
3/22/2024 2:54:41 PM
Creation date
6/23/2020 6:43:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2010
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2005-2010.tif
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EHD - Public
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•UNIFIED PROGRAM CONSOLIDATED FO <br />UNDERGROUND STORAGE TANK - <br />MONITORING PLAN - (Pae 1 of 2) <br />TYPE OF ACTION ❑ 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />490-1 <br />PLAN TYPE ® 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />490-2 <br />(Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br />L FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />4 <br />BUSINESS NAME (Same as FACILITY NAME) Valero Corner Store #3641 <br />3. <br />BUSINESS SITE ADDRESS 1210 E. Hammer Lane 103- <br />CITY Stockton <br />104. <br />II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <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 />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99. OTHER (Specify): <br />490-3a <br />490_3b <br />III. MONITORING LOCATIONS <br />❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑ 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, <br />2634)490-4 <br />IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br />1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT <br />490-5 <br />VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) <br />SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM <br />490-6 <br />------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------- <br />PANEL MANUFACTURER: Gilbarco 490-7. , MODEL #: EMC <br />490.8 <br />LEAK SENSOR MANUFACTURER: Gilbarco 490-9. MODEL #(S): 420 <br />490-10" <br />El 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) <br />490-11 <br />PANEL MANUFACTURER: 490-12. MODEL #: <br />490-13 <br />-- - - - -- -- - - - ---------------------------------------------------------------------------------- -------------------------------------------------------------------------------- <br />IN-TANK PROBE MANUFACTURER: 490-14. MODEL #(S): <br />-------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />490-15 <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />490-16 <br />❑ d. MONTHLY ❑ e. OTHER (Specify): <br />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br />490-17 <br />PROGRAMMED TESTS: Ela. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): <br />iy_ <br />490-18 <br />490-19 <br />❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): <br />490-20 <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS <br />490-21 <br />490-22 <br />5. TANK INTEGRITY TESTING (23 CCR §2643.1): <br />490-23 <br />TEST FREQUENCY: [Ia. ANNUALLY [Ib. BIENNIALLY [:]c. OTHER (Specify): <br />490-24 <br />a90 -2s <br />❑ 99. OTHER (Specify): <br />490-26 <br />490-27 <br />V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />1. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND <br />490-28 <br />VISUAL ALARMS. (23 CCR §2636) <br />SECONDARY CONTAINMENT IS: ®a. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM <br />490-29 <br />PANEL MANUFACTURER: Gilbarco 490-30 i MODEL #: EMC <br />490-31 <br />--------------- - --------------------------------------------------- <br />LEAK SENSOR MANUFACTURER: Gilbarco 490-32 ; MODEL #(S): 208 <br />--------------------------- --- --------------------------------------------------------------------------------------------------------------------------- <br />490-33 <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO <br />490-34 <br />FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO <br />490-35 <br />® 2. MECHANICAL LINE LEAK DETECTOR (MLLD) 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 §2636) <br />490-36 <br />- ----- --- - - - - - -- - - ------ -- -- - --- ------------------------- -- - --- <br />MI LD MANUFACTURER(S): Red jacket <br />acket 490-37 MODEL #(s): FX I-V <br />490-38 <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) <br />490-39 <br />ELLD MANUFACTURER(S) 490-40- MODEL #(S):490-41 <br />- ----- - --- - - ------------------- -- - _ -- ---- ---- - - - - - - --------------- - -- - - <br />- <br />PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. <br />ago az <br />ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO <br />490-43 <br />ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO <br />490-44 <br />4. PIPE INTEGRITY TESTING 490-45 <br />TEST FREQUENCY ® a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 490-46490-47 <br />5. VISUAL PIPE MONITORING. <br />490-48 <br />FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* <br />490-49 <br />* Allowed for monitoring of unburied emergency enerator fuel piping only r HSC §25281.5(b)(3) <br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA [23 CCR §2636(x)(3)]. <br />490-50 <br />7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br />490.5[ <br />❑ 99. OTHER (Specify) <br />490-52 <br />490-53 <br />UPCF UST -D (12/2007)1/4 <br />
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