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COMPLIANCE INFO_2009-2012
Environmental Health - Public
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PR0507204
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COMPLIANCE INFO_2009-2012
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Last modified
2/29/2024 11:25:26 AM
Creation date
6/23/2020 6:58:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012
RECORD_ID
PR0507204
PE
2361
FACILITY_ID
FA0007735
FACILITY_NAME
7-ELEVEN INC #32262
STREET_NUMBER
2360
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23819001
CURRENT_STATUS
01
SITE_LOCATION
2360 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0507204_2360 W GRANT LINE_2009-2012.tif
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EHD - Public
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IED PROGRAM CONSOLIDATED F <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Page 2 of 2) <br /> VI.UNDER DISPENSES ONTAINNWNT(UDC)MONITOI2I iG (Check all <br /> that apply) <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54a. <br /> ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 490-54b. <br /> ........................................................................................................................................................................... ..................................................................... <br /> LEAK MONITOR MANUFACTURER:Veeder-Root 490-55. MODEL#:TLS-350 490-s6. <br /> LEAK SENSOR MANUFACTURER:Veeder-Root 490-57. MODEL#(S):794380-352 490-58. <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a.YES ❑ b.NO 490-59. <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-61. <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a.YES ❑ b.NO 490-6'- <br /> ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... <br /> UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2.DOUBLE WALL 490-63. <br /> IF DOUBLE WALL: 490-64a. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490-64b. <br /> VIII PERIODIC SYSTEM TESTING <br /> El 1.ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION(BLD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.123 CCR§2644.11 <br /> ❑ 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. <br /> VIII. CORA KEEPING <br /> The following monitoring/maintenance records are kept for this facility: 490-68. <br /> N a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS <br /> ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) <br /> ® f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> IX. TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: 490-69a. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69c. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f. <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-69g. <br /> ❑ OTHER(Specify): 490-69h. <br /> 490-69i. <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council 490-70- <br /> (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of hire.This training will 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 monitoring equipment as specified in this UST Monitoring Plan. <br /> ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. <br /> ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. <br /> 777 -77771,7 <br /> X. COMMENTSIADDITION' INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71. <br /> Overfill Protection- Flapper <br /> I» PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br /> by this plan occurs;2.)all conditions that indicate a possible release are investigated;and 3.)all monitoring records are maintainedproperly. <br /> ........ ..........�........................... ....................8 ................................... ....... ........ ............ ..................... <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: Ian Moorhead 490-72 TITLE:Environmental Compliance Manager 490-73. <br /> NAME: Jivtesh Gill 490-74. TITLE:Franchisee 490-75. <br /> The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> X . OWNER/OPERATOR SIGNATt1RE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 490-77. <br /> ♦2-1;7 �,�ja" <br /> REPRESENTING:0 1.Tank Owner/Operator 0 2.Facility Owner/Operator ®3.AuthorizeQVIFepresentative of Owner 490.76. <br /> APPLICANT NAME(print): 490-78. APPLICANT TITLE: 490-79. <br /> Ian Moorhead Env. Compliance Mgr. <br /> UPCF UST-D(1212007)-34 www.unidocs.org <br />
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