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0 0 <br /> Aboveground Separation, Containment, and Monitoring Plan <br /> (Appendix to Hazardous Materials Business Plan and Hazardous Materials Registration Form) <br /> For use by Unidocs Member Agencies in Santa Clara County and where Required by your Local Jurisdiction <br /> Page 1 of 1 <br /> Facility Name: Love's Travel Stop#538 <br /> Complete one column for each aboveground storage area shown on the Hazardous Materials Business Plan or Hazardous Materials <br /> Registration Form Storage Map(s). Write the appropriate location code in the box provided at the top of each column;then moving <br /> down the column,check all boxes which apply to that location. Make additional copies of this page if needed. <br /> Location AST#1 AST #2 AST#3 <br /> Storage ❑ Inside building ❑ Inside building ❑ Inside building ❑ inside building ❑ Inside building <br /> Type ❑ Outside shed/shelter ❑ Outside storage shed ❑ Outside storage shed ❑ Outside storage shed ❑ Outside storage shed <br /> ® Outdoors ® Outdoors M Outdoors ❑ Outdoors ❑ Outdoors <br /> Primary ❑ Original containers ❑ Original containers ❑ Original containers ❑ Original containers ❑ Original containers <br /> Containment ❑ Safety cans ❑ Safety cans ❑ Safety cans ❑ Safety cans ❑ Safety cans <br /> (Check all ❑ Inside machinery ❑ Inside machinery ❑ Inside machinery ❑ Inside machinery ❑ Inside machinery <br /> that apply) ❑ Drums/barrels ❑ Drums/barrels ❑ Drums/barrels ❑ Dmms/barels ❑ Drums/barrels <br /> ❑ Pressure vessels ❑ Pressure vessels ❑ pressure vessels ❑ Pressure vessels ❑ Pressure vessels <br /> M Tanks ® Bulk ranks M Bulk tanks ❑ Bulk tanks ❑ Bulk tanks <br /> ❑ Aboveground piping ❑ Aboveground piping ❑ Aboveground piping ❑ Aboveground piping ❑ Aboveground piping <br /> ❑ Other ❑ Other ❑ Other ❑ Other ❑ Other <br /> Secondary ❑ Approved cabinets ❑ Approved cabinets ❑ Approved cabinets ❑ Approved cabinets ❑ Approved cabinets <br /> Containment ❑ Secondary drum ❑ Secondary drum ❑ Secondary drum ❑ Secondary drum ❑ Secondary drum <br /> (Check all ❑ Tray ❑ Tiny ❑ Tray ❑ Tray ❑ Tray <br /> that apply) ❑ Berried&coated floor ❑ Berated&coated floor ❑ Berried&coated floor ❑ Berned&coated floor ❑ Berried&coated floor <br /> M Tank vault M Tank vault M Tank vault ❑ Tank vault ❑ Tank vault <br /> M Secondary piping or M Secondary piping or M Secondary piping or ❑ Secondary piping or ❑ Secondarypiping or <br /> piping trench piping trench piping trench piping trench piping trench <br /> M Other M Other M Other ❑ Other Cl Other <br /> Separation M All materials compatible M AO materials compatible M All materials compatible ❑ All materials compatible ❑ All materials compatible <br /> (Check all ❑ One-hour separation ❑ One-hour separation ❑ One-how separation ❑ One-hour separation ❑ One-hour separation <br /> that apply) walVpartition wallipartition wall/partition wall/panition wall/partition <br /> ❑ Separation by at least 20 ❑ Separation by at least 20 ❑ Separation by at least 20 ❑ Separation by at least 20 ❑ Separation by at least 20 <br /> feet feet feet feet feet <br /> ❑ Approved cabinets ❑ Approved cabinets ❑ Approved cabinets ❑ Approved cabinets ❑ Approved cabinets <br /> ❑ Other ❑ Other ❑ Other ❑ other ❑ Other <br /> Monitoring M visual M visual M visual ❑ visual ❑ visual <br /> Type M Automatic sensors M Automatic sensors M Automatic sensors ❑ Automatic sensors ❑ Automatic sensors <br /> ❑ Other ❑ Other ❑ other ❑ other ❑ Other <br /> Monitoring ❑ Daily ❑ Daily ❑ Daily ❑ Daily ❑ Daily <br /> Frequency ❑ weekly ❑ weekly ❑ Weekly ❑ weekly ❑ Weekly <br /> M Monthly M Monthly M Monthly ❑ Monthly ❑ Monthly <br /> M Continuous M Continuous M Continuous ❑ Continuous ❑ Continuous <br /> ❑ Other ❑ Other I❑ Other ❑ Other 10 Other <br /> In the space provided below, describe the location, type,manufacturer's specifications(if applicable) and suitability of any monitoring <br /> methods used other than visual monitoring. Attach additional pages if needed: <br /> There are 3 AST Modem Welding double walled fire guard tanks installed in a basin that will hold 11O%of the largest tank. The <br /> tanks are monitored by Veeder Root 420 dry interstitial sensors. When piping transitions to below ground then the piping is <br /> double walled Ameron LCX with Veeder Root 323 liquid sensors under all applicable UDC's and in the transition sump. All lines <br /> are monitored by Veeder Root PLLD and will go into product shutdown when it senses a 3 gph leak. <br /> ON-021-1/1 www.unidocs.org Rev.07/24/06 <br />