HomeMy WebLinkAboutBUSINESS PLAN (3)
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·12-07-04 01:34am From-TAIT ENVIROMENTAL
714-580-8237
T-828 P.02
F-508
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: í)SJOOR OR_MAL
This fo=. must be used tD do
o . 0 . \em CD
:¡yø\6m ownerfopCRtor. 'The 0
~a ofte.t elate.
A. Guøal Wonnation
¡ÿãë!~_Name: ARCO PROP
NlTORING SYSTEM CERTIFICATION
.Pm- U.s.".AU JurlIJd1~øn~ ~~)1 the state qfCalíÞrJldd
Hea'tI'I ~ ~fdy Coda; C__ 1 ~ Di"i~ion 3, nile 23, Calt/b1nÜ.. Code oJ Iœtfµltúiom
1 testing and servicinG ofmoni1oring equipmenl A ,eparate ~tûßc~or~porl rh'IHt 1!lIIlIf~lIIrIIId
8' by the \lcbDicim who pedoœs the wast:. A copy of this fODQ must b~ provided to the tank
oplntœ must. .Ubsd .. copy of 1bi8 foam to the local aglnGY flguWing UST ~ wübin 30
1 Semel: Station N o. : 10583
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! CJ!Y-: ! BAKBRSPIBLD
J _~~_lg3304
~ FãCš1i1ŸContact Penon:
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Conta~Phone No.:
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DIIte ofTol~OJVÌçe: ¡ I O~'Z·b ..ë.~ -J
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12-01-04 01 : 94am From-TAIT ENVIROMENTAL
114-560-8291
T-628 P.09/12 F-506
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. .. MO r~RING SYSTEM CERTIFLATION '
'001 ftII'm~b\(\" For UStl By All Jurisdictions Wilhln me Stilt. ølCalifornia
, Aut¡;rltY CiUld: ç;hllpter 6.7 Health œad Safety Cod", Chapter 16. Division ), Title 23, Cali/omit¡ Code ofRegulatio1l8
This fonu tm1i1 be used to
for . rin CDn
system owner/operator. The
'days of~~te. .
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A. 'GbuerBl Information
Facility Na:œc: ARCO PR.ODU
testing and seJVicing ofmonitorina equïpmem. .t..ßr;paTate certification or re:pon must be meDared
anel by the technician who pedorms the work. . A copy of tbía fODD nmat be provided to the tank
operator must submit a copy of this fOJD1 to tho local agency rogu1ating UST systems within 30
Service Station No.:
eoç. 2 "3
Site Address:
,,"Z W
A,Je!
City: @a ~ S¡:;~'Þ Zíp:
Facility Comaçt penon:
Contaet Phouc No.:
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Date of Testïøa;'Service: (u -z f) ......,.
PICe 1 at],
03181
Mo1litorinl Sy.tem Certificado
12-07-04 01:35am From-TAIT ENVIROMENTAL
714-560-8237
T-628 P.04l12 F-506
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D. Results or'IestinWS g
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12-07-04 01:35am From-TAIT ENVIROMENTAL
714-580-8237
T-828 P,05/12 F-508
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~~ Addre l8; losã3-; 3220 MING J VB, -ŒãsFrEÜ>, CA 93304 ~·---rr~ofTe~~~. ílfl-i$=¿;Y-¡
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F. In-Td Gau¡ing I SIR ~quiprnent: :l:Check this box iftUl1c Saugiñg'is U$ed only for invento¡y conitol.
a Cheek this box if no tank gauging or SIR. ec:¡uip~em.is ù:md-=4.
This section must be complete ifin-tank g~ equipment is used to peñonn leak detection monitoring.
o.-IIJde t" toDowbu! checkBs
i'i YeG !l No· Ha. eJ1inp1å wiring been ins¡'Iee\6dforpt'Oper .nt.ty an4 ~n. incNdiftgtostiAgfar grouccU'aultf?
~
Ye. No'" Were 611 tan: gauging plobeø ~NG11yšn.specte4foa' dea'ge anciresidue buildup?
Ve. No'" Was a.ccW'al y of syRm product level ptutings tellted?
Yet No'" Was aCC\1&'ac y of IJ'Item water 1eve1 reedångs tested?
I- Ye. No· Were a11 pro os reinrnD.ed FOPet!.y?
Ve. No· Were a11 itel .I on the cC1\1Ìpmem monufacturez's 1Mii1t..nmce chock1is\ comp1etoci?
.. b. tile Secdo. B, helow I œscr. be 'k1lW u.d vJœa tbe$1I ddiclen.:w wen or wiD.1Ie C01'ftC:W¡4.
G. Li:IUIÌ Leak Detectors (t LD): i Cblcktbia boxifUDs ere nob'Ult.lII1ed.
Ce1IlDlete the foDDwÌlU!! c)w¡ek1:id:
If.1!r.Ves INO. Fot .q . stut.-up Of annual equipment. certü\c~ wu a teek sUnu1ated to vesi1Y IJ.D peú'omumco?
. NIA (Check dll t 1atappl ) Simu1~d1eeknte: if!¡ g.p.hh 0.1 g.p.h.2; 11\0.2 g.p.h.2
Notes: 1. R.equiredfol.¡¡uåp2neœstart-up c6ltifica.tioftE umualcertüieation. .
2. ¡¡mess snonckted by 10 Gel agecey. e.ltÏfieaÜ= requir.d œa1y fw o1oçl&'clDß UD stm-up.
: Ye. No· Wen ClUW II contUmed operational and. accurate witbin regu1alcny nquårelMDtc? ,
",.,Yes No· Wa ! the tes :iq, appldLUa proJledy caJibmed?
Yell No· Porlll.e~ eel UDs. does the UD rofÞi&t pro~ ftow itit. dmcts a leak'?
N/A
.. y.. No'" For electron c UD., doel the t.tñine autome.tic611y shut offiftb.cUD4otect8 a1eGk?
N/A
ayo. No'" Por o1ecwor¡ 'c UP., do..1ht ~ wtoma1íceJ1y shut off it vry portion of the mœmaring syst.emis disab1ed
N/A 01 di.cOÐf\o :teeS?
¡ayOI 'No'" P or ete c:t.r011 ic UDa, dou th. n.biA. &Utomûioû1y s~ut œr if lAY portion oflhe ~ .yøt.em m.a1fI.w:ti.oZl.I
~ NlA or fai1& a wa ?
s\'Y08 No· Por eleçtro:c ic UDa. have all e.cceøøible wirinG ccmnect.ions betA viNI11ym.pect.ecS?
.. N/A
~.. No· Were an ite u on the .quipmentmmufaclqrer's meint.nance choc:kti$' cosnp1ct.ed'?
"Ja'" See&. H, bel.w, IIMoI .. kow IIUI.d whim 'dies" de&i8øellt. wen OI'wDl be COI'J'eÅI".
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12-07-04 01:36am From-TAIT ENVIROMENTAL
714-560-8237
T-628 P.06/12 F-506
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; Site A~ð£~!~: ;0583:3220 M1NG A E.l.~ ..JjRšFíEm; CA9í:Jó4
': Mom'rine Syc.... Cenltinßq
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UST Monitoring Site Plan
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Dœe mop wu d:rawA: 1(; 1"Z6 I tI 'I .
If you already have a die
Monitoring System Cerl:ific
locations of the foUawing e
spaces, sumps, di.:;penser p
detector:;; and in-taWs: liquid 1
was prepared.
å~ODS
that shows an requ1red infonnation. yoU may include it. rather than this page, with your
On youc sitt plan. SMw the gcncallayout of tames and piping. Clearly identify
'pmCDt, if instaJ1ed: monitoring fòystem control pane1s~ sensors monitoring tank armular
spiD. containers. (If other secondary cOßJ:aÚlmeQt area:;~ øechanical or e1ectrazlic =8 leak
1 probes (if used for ·leak c1etection). In the space provided. note the date this Site Plan
I
Pace -Lor--L
05.ClO
PÜOR ORI@D~tJ¡
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12-07-04 01 :36am From-TAIT ENVIRO~NTAL
714-560-8237
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~" AlCtJ Products Camp ny
Elect oDic Leak Detector Test Data Sheet
StatlOD #1
Address:
Date:
10/28/2004
. ,'~~I OR\G'Mê11., "
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Test Information
Product
Manufacturer
Model
Lint Bleed Back (¡pI)
Check Valve Holding PreaIU e (psI)
Test Leak Rate (ml/min) (gp )
PASS or FAIL
Comments:
T-628 P.07/12 F-506
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This letter certifies that e annual leak detector tests were performed at the above
referenced facility acco ding to the equipment manufacturers procedures and
limitations and the res ts as üsted are to my knowledge true and COITect. The
mechanica1leak detect test pass/fail is detennined using a low flow threshold trip
rate of 3 gph at 10 PSI.
Inspected By: Contract l: Tait Envirori.mental Systems
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