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IVFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN - (Page I of 2 TYPE OF ACTION ❑ L NEW PLAN ® 2.CHANGE OF INFORMATION 490.1. PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 490-2. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 3. BUSINESS NAME(Same as Facility Name or DBA) Tower Mart#104 BUSINESS SITE ADDRESS 103. CITY 104. 192 Lathrop Rd. Lathrop, CA 95330 II. EQUIPMENT TESTING AND PREVENTIVE'MAINTENANCE',` Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufactmels'instructions,or annually,whichever is more frequent.Such work must be pafarmed by qw1ified pentormel. 23 CCR§2632,2634,2638.2641] 490-3. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490ab. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED (23 CCR§2632,26341 490-a. IV. TANK MONITORING IS PERFORMED USING THE;FOLLOWINGMETHOD(S) thataply) E I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 49-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: Veeder-Root 490." MODEL#: TLS 350 4908 LEAK SENSOR MANUFACTURER: Veeder-Root 490-9. MODEL#(S):0794390-420 49010. __ ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SIN WOLF ALL TANK(S).[23 CCR§2643] 490-11. PANEL MANUFACTURER: 490-12' MODEL M 490-13. IN-TANK PROBE MANUFACTURER: 4114. MODEL#(S): 490.15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.02 g.p.h. ❑ c.OTHER(Specify): 490.1918. _._ _._.. ago-zo. ❑ 3 MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 cCR§2646.q -------__ ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26°51 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS490-21. 490-22. 490.23. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 a9aza. _ TEST FREQUENCY: ❑ a.ANNUALLY �_b_BIENNIALLY ❑ c.OTHER(Specify). ___... ......... .............___490-25. ______ 490.26. ❑ 99.OTHER(Specify): 490-27. (Check V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) hatge 0-2 ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. I"CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49029. §2636] 41111. 490-31. PANEL MANUFACTURER:Veeder-Root MODEL#: TLS 350 LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL# 794380-208 49x33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490.34. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 491-35. 2MLIN . ECHANICAL E LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§26367 4903-5. MLLD MANUFACTURER(S): 490-3z MODEL#(S): ® 3.ELECTRONIC LANE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS.[23 CCR§26361 490.39. ELLD MANUFACTURER(S):Veeder-Root 490-40. MODEL#(S): 0848980-001 49P41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490.42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 11141. ELLD FAILURF/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-05. ❑ 4.PIPE INTEGRITY TESTING. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490.4E7. 490-48. ❑ 5.VISUAL PINE MONITORING. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ a MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490-49. 'A]11wd for monnorirg oruvbu[d emageory 6meretor fi,elp oe WY o0-FISC 425281.5 3 490-50. ❑ 6.SUCTION PIPING MEET'S EXEMPTION CRITERIA.123 CCR§z6w(al(3p ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. _ 490-51. ---- 490-52. ❑ 99.OTHER(Specify) 490-53. UPCF UST-D(12/2007)-1/4 www.unidoes.org