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UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE I Mn.. TYPE OF ACTION ❑ L NEW PLAN V 2.CHANGE OF INFORMATION s1112 PLAN TYPE Q MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY CHF.FOLLOWING UST SYSTEM(S)'. I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) Mm. BUSINESS NAME(Same as FACILITY NAME) Fad Lane eeMal Vella M04. C-Y BU INESS SITE ADDRESS V, L mn llfiF had - - - II. EQUIPMENT TESTING AND PREVENTI I TENANCE Slate law quires that testing preventive maintenance,and calibration of monitoring equipment(e.g.,sen. ,probes,line leak detectors,etc)be perfomled at the frequen specified by the equipment manufacturcrf instructions,or annually,whichever is more requent,and that such work most be perfumed by qualified el. MONITORIN r QUIPMENF IS SERVICED ® 1.ANNUALLY MO6. - 99.OTT (Specify): MW. III. MONITORING LOC IONS - This monitoring plan List include a Site Plan showing the general tank and piping layouts and lh ocations where monitoring is performed(1 a location of tach sensor, line leak detector,mon ring system control panel,etc.). If you already have a diagram(e.g.,c ant UST Monitoring Site Plan fmm a Momtnnng System Certification form,Hazardous Materia Business Plan map,etc.)which shows all re aired information int de it with this Elan. - IV.,TANK MO ORING MONITORING IS PERFOR 'D USM THE FOLLOWING M-I UOD(S)'.(Check all t apply) 0 I.CONTINUOUS ELECT'R IC MONITORING OF TANK ANNULAR(INTE TITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) MI I SECONDARY CONTA T IS: ❑ &DRY ❑ b.LIQUID LLED ❑ c.PRESSURIZED X d.VACUUM MI5 MI5" MODEL#: TLS-350 PANEL MANUFACTURE Veeder Root MI4. MODEL#(S): 0194380-340r8iB18YiR011' Mrs. LEAK SENSOR MAFIUFAC R: Vaeder Raol ❑ 2.AUTOMATIC TANKGAUGING(A )SYSTEM USED TO MOI TO SINGLE WALL TANK(S) q: Mn. PANEL MANUFACTUREIU MODEL M19, IN-TANK PROBE MANUFAC[[JRER. M'6. MODEL#(S): b.DAILYINIGHTLY ❑ c.WEEKLY M20" LEAK TEST FREQUENCY: E] &C( .C TINIJOUS ❑ mzt. E3 d,MON Y ❑ c.OTHER(Specify): M>z Mz3 PROGRAMMED TESTS: E] a0.1 g.P.h. b.O.2 g.p.h. ❑ c.OTHER(Specify): WCE] 3.INVENTORY RECONCILIATION ❑ a.MANUAL 'R CR§2646 ❑ It.STATISTICAL PER 23 CCR§2646.1 1-] 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 §2645 Mss, TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M26. Mir. TEST FREQUENCY: ❑ a.ANNUAL ❑ b. IE'NNIALLY ❑ c.OTHER(Specify): ❑ 6.VISUAL MONITORING: ❑ s_DAILY ❑ It. EKLY MUTT. ❑ eq OT°IFP(Specity): V.-PIPE M ITORING, _ M30.' MONITORING IS PERFORMED USING THE FOL WINGMETHOD(S)(Check at apply) I CONTINUOUS MONITORING OF PIPING MP(SyTRENCH(ES)AND OTI SECONDARY CONTAINMENT Mn SECONDARY CONI'ARNMENT IS. ❑ a.DRY ❑ b.LIQUID FILLE ❑ c.PRESSURIZED W d.VACUUM M35. PANEL MANUFACTURER: Veedar act - mmeop. MODEL#: 715350 MW. Ie Oy9438(1-2A8/Fi1IL9 Mas. r E.1P ScNROR M.A.N!'FACTL. `leader Root _ _ .ODPT.#(S): WILL A PIPING LEAK ALARM IGGER AUTOMATIC PUMP(i.e.,TURBINE)S WN? ® a.YES [3 In.NO M36M3r WILL FAILURFEDISCONNIEC N OF THE MONITORING SYSTEM TRIGGER AUTO TIC PUNT SHUTDOWN? ® e.YES C] IT.NO ® 2.MECHANICAL LINE LEAK DE ECTOR(MLLD) THAT ROUTINELY PERFORMS 3.0 g. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A L IS DETECTED MOs EE#(S)l 991-0.2000 Mas' MLLD MANUFACTURE VMI ❑ 3.ELECTRONIC LINE LEAK D CIOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK MOSDEI. S) Met. ELLD MANUFACTU ' a): M41 PROGRAMMED IN L E TESTING: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM UAL 0.1 g.p.h. M43 s.YES ❑ b.NO WILL ELLD DIEON OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUT OWN? ❑ a.YES ❑ IT.NO Ma. WILL ELLO FAIL ISCONNF.CTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ 4.INTEGRITY TEST M45. kl G TEST FREQ CY: ❑ a.ANNUALLY ❑ IT.EVERY 3 YEARS ❑ c.OTHER(Specify) c.MIN.MONTHLY&.EACH TIME TEMOPERATEDa Mar. ❑ S.VISUAL MONI RING: ❑ a DAILY ❑ b.WEEKLY ❑ «sanrrs�m xsc 5zszeLslbH3) •Alloxred rm mdtilorblg ofunbuded am for Nal '"nBadY De ❑ 6.SUCTION PI G MEETS EXEMPTION CRITERIA PER 23 CCR§2636(aH3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTFD TO THE UST(s) Mae. - ❑ 99.OTHER(Specify) hwfwm-d(9/24/04).114