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COMPLIANCE INFO_2014-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2014-2015
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Last modified
8/4/2021 4:36:01 PM
Creation date
6/23/2020 6:57:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2015
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2014-2015.tif
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED F <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-LPage 1 of 2) <br /> TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 490.1 <br /> PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ® 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- DIRSRI.TANKS#2&93 <br /> I. FACILITYINFORMATION <br /> FACILITY ID#(Agency Use Only) - 1 <br /> BUSINESS NAME(Same as FACILITY NAME) Flying J Travel Plaza-#618 3• <br /> BUSINESS SITE ADDRESS 1501 N. Jack Tone Rd 103 CITY Ripon 104. <br /> !II:E..QI IPMENT,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 [399.OTHER 490-3 <br /> (Sb <br /> (Specify): 490-3 b <br /> MQNITORING LOCATIONS.. <br /> ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLANI MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)49D4 <br /> IV TANK;MONITORING;IS.PE'RFRM <br /> OEDUSI NG.THE FOLLOWINiG METHOD(S): <br /> ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 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 0-9x6 <br /> PANEL MANUFACTURER: Veeder Root 490-7. MODEL#: TLS-350 490T- <br /> -- <br /> 90.8 <br /> -__..---- ---------- -- - --- ---- ---- - - <br /> LEAK SENSOR MANUFACTURER: Veeder Root 49x9• MODEL#(S): 794380-303 490.10 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 49x12. MODEL#: -- 490-13 <br /> 0-900-x• <br /> IN-TANK PROBE MANUFACTURER: MODEL#(S): 490-15 <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS [Ib.DAILYINIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): - 490x7 <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER49als <br /> g.p.h. g•P• (Specify): 490.19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490- <br /> 490-22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: [I a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 <br /> 490-26 <br /> ® <br /> 99.OTHER (Specify):VISUAL DONE DAILY 490-27 <br /> v PIPE;MONITORING IS 'ERFORMEDIOSING THIr':FOLLOWING:METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-29 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUIDFILLED []c,PRESSURIZED ❑d.UNDER VACUUM 49°-z9 <br /> --- - --- - - - <br /> a9a3o r MODEL#: TLS-350 490-31 <br /> _---PANEL MANUFACTURER: Veeder Root --------_---- ------_-_-_i-------------_�__�-�_---------_-_-___ <br /> LEAK SENSOR MANUFACTURER: Veeder Root ago 32 MODEL#(S): 794380-208 490.33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBWESH <br /> ) UTDOWN. ®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 2636) 490.36 <br /> MLLD MANUFACTURER(S): VAPORLESS 490-37 MODEL#(S): LD2000 490 3s <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> -' 49x40. MODEL#S 490-41 <br /> ELLD MANUFACTURER(S) --� -- �_ ( )' <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 0-9°0-2 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49043 <br /> ELLD FAILURE/DISCONNECTION 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.OTHERS eci 490-46 490-47 <br /> ❑ 5.VISUAL PIPE MONITORING. 49048 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 49049 <br /> •Allowed for monilorin ofunburied cmerpency enerator fuel piping only HSC 25281. <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)]. 490-50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DMSION 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)4/23 <br />
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