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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACKSON
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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UST Program: Monitoring Plan for UST Tank.; <br /> ERS Regulator https://cersregulator.c.&Leva.ca.gov/Business/49846/Facility/l 0181511... <br /> W W <br /> Under Dispenser Containment UDC Monitoring ---.........._.........____.__._...____.................._.........................__.................._--.--........---.-----._-- <br /> UDC Monitoring Detection of leak into UDC Triggers Audible and Visual Alarms <br /> Float and Chain Assembly No <br /> UDC Leak Alarm Triggers Automatic Pump Shutdown <br /> UDC Panel Manufacturer No <br /> Failure/Disconnection of UDC Monitoring System Triggers Automatic Pump Shutdown <br /> UDC Panel Model# No <br /> UDC Monitoring Stops Flow of Product at Dispenser <br /> UDC Leak Sensor Manufacturer Yes <br /> UDC Construction <br /> UDC Leak Sensor Model Single-veiled <br /> UDC Secondary Containment Monitoring <br /> Leak Within Secondary Containment of UDC Causes Audible and Visual Alarms <br /> PeriodicSystem Testing.........................................._....-.................._.........................-- -- ----..._....................................................._.-._.._.._......_.__.................................................................---.................._....._...._....... <br /> �--No ELD Testing <br /> Yes Secondary Containment Testing <br /> Yes Spill Bucket Testing <br /> Recordkeeping <br /> Yes Alarm Logs'# <br /> Yes Visual Inspection Records <br /> NO Tank Integrity Testing Results <br /> NO SIR Testing Results <br /> No Tank Gauging Resutts <br /> NO ATG Testing Results <br /> No Corrosion Protection Logs <br /> Yes Equipment Maintenance and Calibration Records <br /> ....-Training ............._._-_.._-.......___.__....__........_.._...................................................................._.........................................................................._......_........._---___......_----------- <br /> Yes Personnel with UST Monitoring Responsibilities are Familiar with Training Documents <br /> Yes UST Mondoring Plan <br /> No Operating Manuals <br /> No CA UST Regulations <br /> No CA UST Law <br /> No SWRCB Handbook for Tank Owners-Manual and SIR <br /> No SWRCB Publication:Understanding Automatic Tank Gauging Systems <br /> No Other Training Documents <br /> Yes Designated Operator Training 1 <br /> CommentsIAdditional Information........_....__.._.................._.......................-...................._........................._..................._.......................-_.._...__....._...__......... _...__........_._—.............................................._........................................ <br /> �Comments and Additional Information <br /> ..................._............----..............__....__............._............................................................................................................._.........................................._-................_---..............-_.............—._.._............._....................-_...-............_.._.........._...................................................................................._........ <br /> Personnel Responsibilities <br /> Name of First Person Having Responsibility Name of Second Person Having Responsibility <br /> LC SERVICES KAREN ARNAIZ <br /> Title of First Person Having Responsibility Title of Second Person Having Responsibility <br /> TESTING COMPANY DESIGNATED OPERATOR <br /> ApplicantCertification.....__.._._._... ...._.._........._........-......__..._...............----......._.................................................._.._.....__.._.....__.--_._................._....................-- ..__...._..--...-----._.._....._.._..................-..............._................................ <br /> Applicant Name Applicant Tide Signature Date Signature Representation <br /> B&W PETROLEUM c/o ROHDA FENRY CUSTOtvER SERVICE COORDINATOR 4/1/2014 Authorized Representative of Omw <br /> Created By:ROMA HENRY on 4/1/2014 1:33 PIA <br /> Last Updated By:ROFDA HENRY on 4/1/2014 1:41 PM to SibrAw <br /> Version 2.22.0173 1 EnhancementsI CERS Central Diagnostics I Conditions of Usa I Privacy Poll I ContactI Help <br /> Califorrda Environmental Reporting System:Business 10 2014 California Environmental Protection Agercy <br /> CERS Tedvical Support:Request Technical Assistance <br /> .............. <br /> .................. <br /> 14 CERS Help OSettings Notifications i C <br /> 2 of 2 8/6/2014 8:22 AM <br />
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