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COMPLIANCE INFO_1998-2007
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_1998-2007
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Last modified
8/12/2021 10:51:17 AM
Creation date
6/23/2020 6:49:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1998-2007
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_1998-2007.tif
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EHD - Public
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Underground Storage Tank Monitorin* — Page 2 of 2 ! <br />VI. DISPENSER MONITORING <br />MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) M50. <br />❑ 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) <br />PANEL MANUFACTURER: M51. MODEL #: M52. <br />LEAK SENSOR MANUFACTURER: M53_ MODEL #(S): M54. <br />WILL DETECTION OFA LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ❑ a. YES ❑ b. NO M55. <br />WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M56. <br />WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M52. <br />® 2. MECHANICAL ASSEMBLY (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK <br />ASSEMBLY MANUFACTURER RED JACKET M58 MODEL 4(s): FX1V - FX1 DV M59. <br />❑ 3.VISUALMONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (Requires agency apprmaq M60. <br />❑ 4. NO DISPENSERS <br />❑ 99. OTHER (Specify) M61. <br />VII. ENHANCED LEAK DETECTION <br />❑ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK Myo. <br />DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED <br />VIII. TRAINING <br />REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mao. <br />1. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) <br />2. ❑ OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) <br />3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of January 1, 2005) <br />4. ® CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS <br />5. ® CALIFORNIA UNDERGROUND STORAGE TANK LAW <br />6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br />STATISTICAL INVENTORY RECONCILIATION" <br />7. ❑ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" <br />99. ❑ OTHER (Specify): M81. <br />Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. <br />By January 1, 2005, this facility will have a "Designated UST Operator" who has passed the California UST Sytem Operator Exam administered by the International <br />Code COUncil (ICC). By .July 1, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance <br />of the UST systems. This training A ill 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 leak detection equipment. <br />➢ The facility employee's role with regard to spills and overfills. <br />➢ Whom to contact for emergencies and leak detection alarms. <br />For facility employees hired on of after .Rely 1, 2005, the initial training will be conducted within 30 days of the date of hire. <br />IX. COMMENTS/ADDITIONAL INFORMATION <br />Please use this section to include any additional UST system monitoring -related information (e.g., additional information required by your local agency): Mas. <br />Note regarding Section X. Pending certification of a Designated UST Operator, the following person has authority for performing the monitoring <br />activities and maintaining leak detection equipment covered by this plan. NAME: KAREN ARNAIZ JOB TITLE: DESIGNATED <br />OPERATOR <br />X. PERSONNEL RESPONSIBILITIES <br />AS OI. JANUARY I. 2005. THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION 111 OF THE CURRENT UST OPERATING PERMIT <br />APPLICATION — FACILITY FORM WILL, HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING <br />LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN, AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS <br />OF THIi FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR ' 2715(b). <br />XI. OWNER/OPERATOR SIGNATURE <br />CERTlFI certify that the information provided herein is true and accurate to the best of my knowledge. <br />OWN I[R/O R REPRESENTING <br />DATE: Mgt. <br />❑ Owner M9o. <br />® Operator_ <br />February 20, 2007 <br />OWN'::!Z:OP� TOR NAME (print): M92 <br />OWNER/OPERATOR TITLE: M93. <br />ROHDA i NRY LCUSTOMER <br />SERVICE COORDINATOR <br />(Agency Use Only) ']'his plan has been reviewed and: ❑ Approved ❑ Approved With Conditions ❑ Disapproved <br />Local A.,ency Signature: Date: <br />Comments/Special Conditions: <br />UN -0'-'-i% - 3/5 www.unidocs.org Rev. 10/14/03 <br />
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