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Received: (3/25/04 10:21 ; 707 274 6410 -> TIME OIL CO; Page 2 <br /> FROM JACKPOT FOODMART 04165 • FAX NO. : 707-274-8410 *Jul. 25 2004 09:34AM P2 <br /> o,%- •I()At).uiN COUNTY F.NV1ROtiylEti'IaL HEAL•CFI DEI'ANTT � //�n <br /> UVDFRGROUNNDSTORAGETANK wILC ,,evil ��� <br /> MONI.TORING PLAN -PAGE I <br /> bWl I <br /> L <br /> AC.TiON ❑ I.NI.New P,J.N a, HNGFtNFGIwIATIGN ---• WMENT HEALTHPE iUCNTICFR L LPEe nam tmly) C'_• THIS PLAN COVL•R.S ONLY THE FOLLOWING UST SYSTEM(S— 1ks :C�' TT3C iNF.OZMATIRE`I FAII.ITY!D Y tAgan6)r 6'oGnN) <br /> FACILITY NAME �v� Mcs <br /> I CITY ' <br /> FI FI ACILI'I'Y S1TF.ADDRESS jy CU � <br /> .- '--zT; ,. ...._. �„ - + '1 'U;IPI ,.+,':, .i5% '' L:' 'L',1':''xN:.'... '' <br /> .ferI.... _ '...' a leak detectors.etc. b p <br /> m <br /> —�..a ui rnent(e. <br /> S6t!e law aqui!cs that rusting,pmenuve malutenanee,and of ginnlion of hichev er is to ; 8•,tech ws,pmbst lin c ) e <br /> accordanee with tke equiprnem manuF.lcN •mtructious,m annually,whichever is more Freyumt. Such wocic mutt be performed by yualiGed persore�,n�elxd aw <br /> wl.ANNUALLY ❑ 99.OTHER(Specify):_ .. . . -. <br /> MONITORING EQUIPMENT'IS SEKVICP.D .... . ............_,. _ ...:.:. u .. .. _ <br /> EQ]tTN_ . _ <br /> ....._loon �,- ...+...c .... <br /> ng <br /> e locations <br /> fs Ir»nitmvlg p:w.must include a Site Plan briuMns the general tank ahavend lsldiakam eyoutil�dcorrcnt UST Monitoring Site Plan from a Monitoring System Certification I <br /> I line leak daccu5q nr�rilating system control panel,cac.). 1.you already Br ( .g., ...,. <br /> _ <br /> . . ................ .1'r:. Fk;�^,,.:9.91 :zicrji T,,(vF. •;"ii:.:�.1°:,-_'—��^— <br /> - •hrdeh with1a M. <br /> �� T(ohan`I 'Trequtr`dKT NI°I{F�)..: • �:,_ i. <br /> form Hazardous MxrCtals Busmcba Plus m etc, x <br /> MONITORING IS PERFORMED USING THE HOLLOWING METHOD(S).(Check all apply) <br /> 1.CONTINUOUS ELECTRONIC MONITORING OF TANKANNUI.AR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAP.UNDE VAULT(S) Mtl <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LK)U D FILLED ❑ c.UNDER PRESSURE• ❑ J.UNDER VACUUM M:a <br /> Ue2o p0� Mil. MODELCMI+ <br /> J7S-�35o - <br /> ?ANEi.M ANUFACTIMR: M74. <br /> MODEL;)(S): <br /> LEAK SENSOR MANUF'ACTLRER- l»� <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANjb$2 nn:. <br /> MODEL P. <br /> PANEL M:L4UFACTURER: MIs, MIP <br /> MODEL#(S): <br /> r,-TANK PROSE.MANUFACTURER: <br /> LEAK TEST'FREQUCNCY: 11a-CONTINUOUS ❑ b. R:IGHTLY c.WEF'KLY <br /> Q �• I <br /> E3 d,MONTHLY ❑ e-OTHER(Specify); <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.02 g.p.h. ❑ o.OTHER(Specify): . <br /> 151 3.INVENTORY RECONCILIATION 0(a MANUAL PER 21 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 <br /> LI 4.WEEKLY MANUAL TANK GAUGING(MTC)PER 23 CCR§2615 n!;` <br /> TESTMO PERIOD: s.36 HOURS C] 6.60 HOURS <br /> ❑ 5.INTEGRITY TEST'lNG PER 23 CCR§2643.1 avh•�_ ' <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY Io' a-OTHER(6pccify); <br /> PK6.ViSLALMONITORINGOON1n• %a.DAIIY ❑ b.WEEKLY(Reaalla ee•xa•>Prb.all M:6 � <br /> ❑ 99.On-MR(SpeciW): ..... .... ...... ... c.:a: %... � - - <br /> .i 41P <br /> ' ...:::.sir. • "::�.'e <br /> Mvj <br /> MONITORING IS PERFORMED USING THE FOLLOWING MCYHOD(S)(Check all that apply) i <br /> Y 1.CONTINUOUS FLECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT w• <br /> t1m,Ir DARY CONTAINMENT IS: a.DRY ❑ b.LIQJu D FILLED - ❑M's, MODELNS):c.UNDER PRESSURE El d,UNDER VACUUM a", <br /> PANEL MANUFACTURER: /1lAPD -�'' / l^1L Maa MODEL#: <br /> ,p nus. <br /> LEAK SENSOR N5MNL7 FACT'LR(LPl 1�P�0�/� o - <br /> µ+e <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e•,TURBINE)SHUTDOWN? ❑ a.YES 0 b.NO Mtl <br /> WILL PAILL ODISCONNE•CTION OF TILE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHLr7DOWN' ❑ a.YES b.NO <br /> 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h- LEAK TESTS AND RESTRICTS OR SI-JUTS OFF <br /> PRODUCT'FLOW WHEN A LEAK IS DETECTED 2 <br /> MLLD MANUFACTURER(s) LTMt y'� Mile. MODEL#(S): G� �9 <br /> : M — ! <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS I <br /> Mnl <br /> EI.LD MANUFACTURER: Mab' MODELb: <br /> I PROORAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. .M.^. <br /> WILL ELLD DETECTION OF A PIPING LEAK TRIGGERAUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO Mit' <br /> j WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ s.YES ❑ h.NO MM <br /> 4.INTEGRITY TESTING <br /> TEST FREQUENCY: a.ANNI.IALLY ❑ b.EVERY 3 YEARS ❑ C.OTHER(SpccifY) <br /> 3.VISUAL MONITORIN0170NE: a.DAILY ❑ b.WEEKLY+ ❑ C.MN.MONTHLY A EACH TIME SYSTEM OPERATED-- Mn <br /> •Re4ai,c•aarncY xPar^nl •'Allowedror nnnuvrino arunburied emmabncy aw,»lor rxrl piion6o1.1y Pe:HSC IM261.5,1l9b <br /> 1990N1S SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) <br /> PRODUCTOR REMOTE.F11.1.PIPING LS CONNECTED TO THE UST(s) <br /> _OT14ER(Specify) Ma <br /> SJCEfIU-d(07!03)-Il4 07123103 <br />