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COMPLIANCE INFO_2011-2013
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231923
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COMPLIANCE INFO_2011-2013
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Last modified
2/1/2024 2:06:52 PM
Creation date
6/23/2020 6:53:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2013
RECORD_ID
PR0231923
PE
2361
FACILITY_ID
FA0003606
FACILITY_NAME
ARCO 05450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
01
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231923_1617 W FREMONT_.tif
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EHD - Public
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Y <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page I of 2) <br /> TYPE OF ACTION ❑ I.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALI..USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agenen Use On/i) 1 <br /> BUSINESS NAME(Same as FACILITY NAME)ARCO 05450 3 <br /> BUSINESS SITE ADDRESS 1617 W FREMONT 03 CITY STOCKTON 104 <br /> It.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 /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b <br /> Q ( P Y)= ago-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 490S <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 490-6 <br /> - - --- ------ - --------- --- - ----- - -- -- - - ------ - ----- ------ -- - -------------- ------------ <br /> PANEL MANUFACTURER: VEEDER ROOT MODEL#: TLS-350 490-8 <br /> -------------------------------------- -- ---- - - -- -----------------------------------)--------- ------------ <br /> LEAK SENSOR MANUFACTURER: VEEDER ROOT 490-9. i MODEL#(S): 794390-407 490-10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> --------------PANEL MANUFACTURER: 490-12. MODEL#: 490-13 <br /> ---------------------------------------------------------------------------- <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 <br /> --------------------- ---- <br /> ----------------------- --- <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 <br /> --------------------------- ----- ----------------------------------------------------------------------------- ---------- <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. c.OTHERS cif 490-18 <br /> g�P� g�P� ❑ (Specify): a90-re <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: 490-22 <br /> ❑ a.36 HOURS ❑ b.60 HOURS 490-21 <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> 490-24 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 <br /> El99.OTHER (Specify): 490.26 <br /> v,,"#1 lE MONITORING IS, ,ERFORMED,USING THE FOLLOWING METHODS)(Check all that apply) <br /> ®1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> ------------- -------------------------------------------------- ------ - <br /> PANEL MANUFACTURER:VEEDER ROOT 490-30 MODEL#: TLS-350 490-31 <br /> - - - 4900-32 MODEL#(S): 490-33 <br /> LEAK SENSOR MANUFACTURER: VEEDER ROOT j 794380-323(TURBINE) <br /> 794380-344 SILL) <br /> ---- -- -------------------------------------------- ------------ <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 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 42636) 490-36 <br /> MELD MANUFACTURER(S): 490-37 MODEL#(S): 490-38 <br /> ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> ELLD MANUFACTURER(S): VEEDER ROOT 4900 MODEL 490-0-1 <br /> 848480-000 11 W/SWIFT CHECK <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-43 <br /> ELLD FAILUREMISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 49044 <br /> ❑ 4.PIPE INTEGRITY TESTING 49045 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 <br /> *Allowed for monitoring of unburied emergwcy genUator fuel piping only per HSC§25281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> 490-52 <br /> ❑ 99.OTHER(Specify) 490-53 <br /> UPCF UST-D(12/2007) <br />
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