Laserfiche WebLink
02/01/2008 FRI 13:52 FAX 2094683433 SJC EBD 2001 <br /> wwwwwwwwwwwwwwwwwwwww <br /> *** FAX TX REPORT *** <br /> wwwwwwwwwwwwwwwwwwwww <br /> TRANSMISSION OK <br /> JOB NO. 1013 <br /> DESTINATION ADDRESS 919162857410 <br /> PSWD/SUBADDRESS <br /> DESTINATION ID <br /> ST. TIME 02/01 13:51 <br /> USAGE T 01' 31 <br /> PGS. 5 <br /> RESULT OK <br /> UNDERGROU. .D STORAGE TANK MONifORING PLAN <br /> For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br /> Authority Cited.- Title 23 CCR, Sections 2632(d)(1),2634(d)(2), and 2641(h) <br /> TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Moi. <br /> PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. M02. <br /> (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S):- <br /> 1. FACILITY INFORMATION <br /> FACILITY ID 0(Agency Use Only) <br /> FACILITY NAME Tower Mar(#104 Moa. <br /> FACILITY SITE ADDRESS 192 Lathrop Rd Moa. CITY Lathrop, CA 95330 mos. <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g,sensors,probes,line leak detectors,etc.)be performed in Ma. <br /> accordance with the equipment manufacturers'instructions,or annually,whichever is mom frequent Such work must be performed by qualified personnel. <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): M07. <br /> III. MONITORING LOCATIONS <br /> This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, <br /> 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 <br /> form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. <br /> IV. TANK MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) mro. <br /> ® I.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM MII. <br /> PANEL MANUFACTURER: Veeder-Root M12' MODEL H: TL350 MII. <br /> LEAK SENSOR MANUFACTURER: Veeder-Root M14 MODEL ff(S): 848480-001 MIs. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) <br /> PANEL MANUFACTURER: MI6' MODEL b: MIT <br /> IN-TANK PROBE MANUFACTURER: MIs. MODELM(S): MIS, <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY Mae. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): Mer <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): M22. MIs. <br /> ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Mu. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 <br /> TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS MIs. <br /> ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): MIS M27. <br /> ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(aro�trrs nS�4oy.0po.a1 <br /> ❑ <br /> 99.OTHER(Specify): MIS. <br /> V. PIPE MONITORING <br /> MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mao. <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SYFRENCH(ES)AND OTHER SECONDARY CONTAINMENT <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M3I. <br /> PANEL MANUFACTURER:Veeder-Root MI2. MODEL N: TL350 MIs. <br /> LEAK SENSOR MANUFACTURER: )1eeder-Root M34. MODEL#(S): 794390-420 MIs, <br /> WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ® a.YES ❑ b.NO MI6, <br /> WILL FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? N a.YES ❑ b.NO M37. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED <br />