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COMPLIANCE INFO_2009-2010
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0517272
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COMPLIANCE INFO_2009-2010
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Last modified
11/29/2023 3:26:32 PM
Creation date
6/23/2020 6:59:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2010
RECORD_ID
PR0517272
PE
2361
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0517272_15237 N THORNTON_2009-2010.tif
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EHD - Public
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t <br /> IFIED PROGRAM CONSOLIDATED FOWM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UD()MONITORING {Checkgtl <br /> that <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/OMNTECMODEL#:TLS-350/8000II <br /> 490-55. 490-56. <br /> LEAK SENSOR MANUFACTURER:VEEDER-ROOT 490-57. MODEL#(S):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 490-62. <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 /> PERIODIC SYSTEMTES; N(G <br /> ❑ 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION ELD 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 /> RECORD, j y 1 <br /> The following monitoring/maintenance records are kept for this facility: 490-68. <br /> ® 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 ,TR <br /> G: <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 /> 1TS/ADbITIONAL1TF© n ATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. <br /> 490-71. <br /> OFR- Flappers installed in fill risers provide mech. overfill prevention at 95%. Audible&visual alarms. <br /> f <br /> XI.`PERSO Ia i2SI'iJNS�BILTTIES <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 maintained ro erl . <br /> _.................................................................................... ................................................................................P...2P.......Y.............................._........................_._...................................... <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: RICARDO BUENROSTRO 49172. TITLE:GENERAL MANAGER 490-73. <br /> NAME: WADE WEBER 490-74. TITLE:FACILITY MANAGER 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-u action. <br /> XIL O,WNERIOPERATOR <br /> CERTIFICATION:I certify hat the information vided h is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 490-77. <br /> 6/3/2009 <br /> REPRESENTING: 1.Tank Owner/ r❑2.Facility Owner/Operator❑3.Authorized Representative of Owner 490-76. <br /> APPLICANT NAME(print): 490-78. APPLICANT TITLE: 490-79. <br /> JEFF LARSEN DIRECTOR OF HS&E <br /> UPCF UST-D(12/2007)-3/4 www.unidocs.org <br />
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