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NMED PROGRAM CONSOLIDATED <br /> UNDERGROUND STORAGE TAW <br /> MONITORING PLAN- (Pae 1 of 2) <br /> TYPE CTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 4m-1 <br /> PLAN E ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 0902. <br /> (Check�oneitem only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1 <br /> BUSINESS NAME(Same as Facility Name or DBA) 7-Eleven # 32190 3, <br /> BUSINESS SITE ADDRESS 103. CITY 104. <br /> 4943 S. Kingsley Stockton <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified <br /> _Pythe eLwpment manufacturers'instructions,Or annually,whicheva is more ffequent Such work must be performedualfied�ersonne [z3 ccn§?632 w3a.263e,26011 <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHERiS ec4903a. <br /> ( P f3')' 490.36. <br /> III. MONITORING LOCATIONS <br /> ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 ccR 42632,26341 4YU-4' <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) fha1ack�I <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULTS) 4905. <br /> WITH AUDIBLE AND VISUAL ALARMS.ED CCa 42632,w341 <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY X b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490.6. <br /> PANEL MANUFACTURER: Veeder-Root 4W7. MODEL#: TLS-360 490-8. <br /> .TT_ - LEAK SENSOR MANUFACTURER:_Veeder-Root a90-9' MODEL#(S): 794380-302 49010' <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).ED cca§26431 49UAl1. <br /> PANEL MANUFACTURER: 490-12 MODEL#: 490.13. <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 49x15. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 49x16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-10. <br /> PROGRAMMED TESTS: 490-18. <br /> ---- _ --______-.._. a.0.1 g.p.h. O 66.0.2 g.p.h. ___.........._0_c_OTIIER(Specify): _090--19. <br /> ❑ 1 MONTHLY STATISTICAL INVENTORY RECONCILIATION R3 ccR§2646.11 ago-20-. <br /> --_____ _____-_______.____-____-_____ <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)ED=§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS yya -21. <br /> ® 22. <br /> 5.TANK INTEGRITY TESTING PER[23 cca§z643.q --____-----.----.__-_-__----_----.----------------.-___490.23. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ® c.OTHER(Specify) SH989 eve 36 months 49024. <br /> ❑ <br /> 99.OTHER(Specify): --490-36.- <br /> 490.27. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that ho`ku <br /> i <br /> ® 1.CONTINUOUS MONITORING OF PIPFIPIEING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. <br /> I12636� SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM a9p-29. <br /> PANEL MANUFACTURER:Veeder-Root 690.30' MODEL#: TLS-350 49031. <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 49032. MODEL#(S): 794380-208 490-33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. E a.YES ❑ b,NO 49x34. <br /> FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-35. <br /> 2,MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49036. <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.In CCR§26361 <br /> MLLD MANUFACTURER(S): a90.37. MODEL#(S): 49038. <br /> 0-3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 cca§26361 49039 <br /> ELLD MANUFACTURER(S):Veeder-Root 490.,W. MODEL#(S): PLLD 49x41. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1gP h. 490-42. <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-43. <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES [Ib.NO 490-40 <br /> ® 4.PIBE INTEGRITY TESTING. 490-45. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ® c.OTHER(Specify) 88989 every 36 mo. 690-ab. <br /> _____ ____--_______.______ _490-47._ <br /> ❑ 5.VISUAL PIPE MONITORING. 09008. <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 400-49 <br /> ___AIbwM for manaorin&of unburied emergency-gewrator fuel�AngoNyper HSC25281.5@)(3Z___ <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.ED ccR§2636(.)(3)1 _ 490-50. <br /> __ _______..__-..________.--______-_ <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFEFY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49051. <br /> ------------- ------------------------ <br /> ❑ 99.OTHER(Specify) 090-sz. <br /> 490.53. <br /> UPCF UST-D(12/2007)-1/4 www.unidocs.org <br />