BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN-(Pae I of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 490'1 PLAN TYPE N 1.MONITORING IS IDENTICAL FOR ALL UST's AT THIS FACILITY. '190.3 (Check one itmn only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(l) I. FACILITY INFORMATION FACILITY ID#(Agency Um Only) BUSINESS NAME(Same as FACILITY NAME) Circle KStore #2701205 ' BUSINESS SITE ADDRESS 16470 Cambridge Street 1°3. CITY Lathrop IM. IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,amt calibration of monitoringequipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed of the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and dlnt such work must be performed by qualified personnel, 23 CCR 263212634,2638,2641 MONIT'011ING EQUIPMENT IS SERVICED N L ANNUALLY ❑ 99.OTHER(Specify): a90a4 III.MONITORING LOCATIONS ®L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOTPLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4964 _ IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONICTANKMONITORING OF ANNULAR(WrEERSTITIAL)SPACES)ORSEC,ONDARY CONTAINMENT a9a-s VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CON'fAINMF:Nf IS: ❑ &DRY N b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4146 PANEL MANUFACTURER: Veeder Root 4904. MODEL#: TLS-350 4908 LEAK Sr:NSOR MANUFACTURER- Veeder Root 4909 MODEL HIS): 794380-303 49u-ic ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED T'O MONITOR SINGLE WALL TANK(S).(23 CCR§2643) PANELMANUFACTURER: 494"12' MODEL.#: IN-TANK PROBF.MANUFAC .IRER: LEAK TEST FREQUENCY: ❑ n.CONTINUOUS ❑ b.DAILYMIGH'!LY ❑ c WEEKLY 49o-m ❑ d.MONTHLY 0 e.OTHER(Specify): M-11 PROGRAMMED'ITSTb: ❑ a-0.1g h. ❑ h.0.2 .h. ❑ c.OTHER(Specify): 49o.Iz P� g�P 49o.ro ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR 62646.1): 990'30 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ n.36 HOURS ❑ b.60 HOURS 449oei S.TANK INTEGRITY TESTING(23 CCR§2643.1): M603 TEST FREQUENCY: 0 a.ANNUALLY El b.BIENNIALLY E] c.OTHER(Specify): :0.i ❑99.OTHER (Specify): _ 49an V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) I.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND .99 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:Na.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 49o-39 PANEL MANUFACTURER__ Veeder Root _99040 I MODEL#: TLS-350 49013 490-t1) _ _ LEAK SENSOR MANUFACTURER: Veeder Root MODEL#(5)_ 794380-2084W13_- PIPING LEAK ALARM'1'RIGGERS AUTOMATIC PUMP i.e.,TURBINE)SHUTDOWN. N e.YES ❑b.NO 190'14 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a.YES ❑b.NO 490.35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF _PRODUCT_FL_OW_WHEN_A LEAK IS DETECTED2. CCR§2636L _. ___..____.__....__.._..._.__ 490-36 MLLD MANUFACTURER(S):Regular-FE Petro/Premium-Red Jacket j90' MODEL#(S):Reg.#MLD/Prem.#FXI V 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS3.0 g.p.h.LEAK TESTS (23 CCR§2636) 49039 ELLD MANUFACfURERMANUFACTURERS) 090'<° MODEL#(S). "T9o-4i .__._..__ ..__...___T- _-.-2--'MINIMUM -.. UM AN---____._.____...__._. PROGRAMMED M LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2MINIMUM ANNUALOA g.p.h. ^9°43 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑e.YES 0 b.NO "9V-01 ELLD FAILURE/DISCONNECTiON TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑n.YES ❑b.NO a9049 4.PIPE INTEGRITY TESTING 49045 TESTFRE UENCY a.ANINUALLY b.EVERY3YEARS El c.OTHER(Specify) 490.4649047 5,VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49049 •Albw9d 2,m90ami N,mtu4M m1 tm ILcI ' 9al HSC 353815 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)1. 490.50 Cj 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6,7 IS CONNECTED TO THE TANX SYSTEM 490.51 -" 49?51 ❑ 99.OTHER(Specify) 490-51