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a Ir 1 UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE 1 TYPE OF ACTION ❑ 1. NEW PLAN Q 2. CHANGE OF INFORMATION M01. PLAN TYPE ❑x MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M02. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME)° Quick Stuff # 7745 BUSINESS SITE ADDRESS 26015 Newport Rd 04' CITY Menifee 11. EQUIPMENT TESTING AND PREVEN7TVE-MATNTENANCL State law requires that testing, preventive maintenance, and calibration of monitoring equipment e.g., sensors, pro es, line leak detectors, etc. e performed at the frequency specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. MONITORING EQUIPMENT 15 SERVICED 1. ANNUALLY M06. ❑ 99. OTHER (Specify): Mol. III. MONITORING LOCATIONS 1s monitoring plan must include a Site Plan showing the general tanK an piping layouts and the locations where monitoring Is performed i.e., location of each sensor, line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) x❑ 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENTVAULT(S) SECONDARY CONTAINMENT IS: ❑ a. DRY ❑x b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. VACUUM M11. PANEL MANUFACTURER: Veeder Root M12. MODEL #: TLS 350 R M13. LEAK SENSOR MANUFACTURER: Veeder Root M14. MODEL #(5): 794380-301 M15. ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL #: M17. IN -TANK PROBE MANUFACTURER: M18. MODEL #(S): M19. LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY c. WEEKLY M20. ❑ d. MONTHLY ❑ e. OTHER (Specify): M21. PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): M22. M23. ❑x 3. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑x b. STATISTICAL PER 23 CCR §2646.1 M24. ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS M25. ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): M26. M27. ❑ 6.VISUAL MONITORING: ❑ a. DAILY ❑ b. WEEKLY ❑ 99. OTHER (Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) ❑x 1. CONTINUOUS MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ❑ a. DRY ❑x b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. VACUUM M31. PANEL MANUFACTURER: Veeder Root M32. MODEL #: TLS 350 R M33. LEAK SENSOR MANUFACTURER: Veeder Root M34. MODEL #(S): 794380-208 M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ❑x a. YES ❑ b. NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑x a. YES ❑ b. NO M37. ❑x 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MANUFACTURER(s): F. E. Petro M38. MODEL #(5): STP -MLD/ STP -MLD -D M39. ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS ELLD MANUFACTURER(s): Moo. MODEL #(S): M41. PROGRAMMED IN LINE TESTING: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. M42. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO M44. ❑ 4. INTEGRITY TESTING TEST FREQUENCY: a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M45. M46. ❑ 5. VISUAL MONITORING: ❑ a. DAILY ❑ b. WEEKLYI-I c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- M47. • Allowe or monitoring of unburied emergency generator fuel piping only per HSC §25281.5(b) ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR §2636(a)(3) (3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99. OTHER (Specify) M48. hwfwrc-d (9/24/04) - 1/4