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0 0 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- age 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. PLAN TYPE ® 1.MONITORING-IS IDENTICAL FOR ALL USPS AT THIS FACILITY. jCheek one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(Sr u„ `l< FACILI'TY _1+FEORMATION FACILITY ID#(Agency Use Omly) BUSINESSNAME(gamees Fa ""vameorDSA) a Super Store Industries BUSINESS SITE ADDRESS 16888 McKinley Ave. no CITY Lathrop IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing preventive maimenanoe,and calibration of monitoring equipment(ag,sensms,probes,line leak doWtO ,etc.)must be performed at the frequency specified by the equipm®t manufacturers instrucfionR or amw Iv whichever is more frequem.Such work must be performed by qualified personnel-In CCR 92432.24N.263a.264J MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY ❑ 99.OTHER(Specily): �. IIL MONITORING LOCATIONS ❑ 1.NEW SITE PLOT'PLAN/MAP SUBmu-rED WITH TTHS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED ID CCR 52632,2.341 ago a. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METIIOD(S) rh ak 171 ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-s. WITH AUDIBLE AND VISUAL ALARMS.123cc292ss7,zm4l SECONDARY CONTAINMENT IS: ❑ a DRY R b.LIQUID FILLED ❑ a PRESSURIZED ❑ d.UNDER VACUUM 496b' PANEL MANUFACTURER Veeder-Root 490.7. MODEL#: TLS-350 4908 LEAK SENSOR MANUFACTURER: Veeder-Root 490-9' MODEL#(S): VR 302 40-10. 02.AUTOMATIC TANK GAUGING(ATO)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).Inc 92.31 °90.1x' PANEL.MANUFACTURER 4 " MODEL#: 49oa3 IN-TANK PROBE MANUFACTURER: d9-tt MODEL#(S): 490-1s. LEAK TEST FREQUENCY: ❑ a CONIENUOUS ❑ b. )AILY/NIGHTT,Y ❑ a WEEKLY 490-16, ❑ d.MONTHLY ❑ e.OTHER(Specify): b 17. PROGRAMMED TESTS: ❑ a 0.1 g.P.b. ❑ b.0.2 g.p.h. El c-OTHER(Specify): ,yo 0.tR ❑ .MONTHLY STATISTICAL INVENTORY RECONCILIATION Inc kjl .il 490-20. IV 4.WEEKLY MANUALTANK GAUGING(MTG)(nomimtIi TESTING PERIOD: [Ia.36 HOURS ❑ b.60 HOURS ° . 49wzz. ® 3.TANK INTEGRITY TESTING PER C23 ix&f24as 1T ago-n. TEST FREQUENCY: ® a ANNUALLY ❑ b.BIENNIALLY ❑ a GUTTESpecify) R 490.24. { : 490-zz ❑ 99 OTHER(specify); Daily log for waste oil tank level&weekly tank gauging a '" - V. PIPE MONITORING ISr PERFORMED USING THE FOLLOWING METHOD(S) h I avr7)9 0 1.CONTINUOUS MOhTTORING OF PIPEIPIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. In cc' SECONDARY CONTAINMENT IS: ® a [IDRY b.LIQUID FILLED ❑ c.PRESSURIZED El d.UNDER VACUUM 499.29' 23361 PANEL MANUFACTURER Veeder-Root 490'J0MODEL#: TLS350 °9041' LEAK SENSOR MANUFACTURER Veeder-Root 490-32 MODEL#(s): VR 208 49043' PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(Le.,TURBINE)SHUTDOWN. ❑ a YES ❑ b.NO 490-34' FAILURENISCONNECTTON OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a YES ❑ b.NO Osoas. ® 2.MECHANICAL LINE LEAK DETECTOR(MLID)THAT ROUTINELY PERFORMS 3.0 g p h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49p36 PRODUCT FLOW WHEN A LEAK IS DETECTED.tz3cc §4 ] MLLD MANUFACTURER(S)MMI 99 990-31' MODEL#(s): LD 2000 A90-38' ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g pA LEAK TEM.In ccR12,W 49039. ELLD MANUFACTURER(S)- 49 W0. MODEL#(S): 49041. PROGRAMMED IN LINE LEAK TEST: ❑ a MINIMUM MONTHLY 0.2 g p.L ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-02' Ell DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO 4904z FYI FAILURF/DISCONNECISON TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ aYES ❑ b.NO 490-a4' ❑ 4.PIPRIN -GRITYTFKnNC._ �s. TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ a OTHER(Specify) a9o°-490i 6 ® S.VISUAL PIPE MONITORING. 9 asOrR FREQUENCY: ® a,DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 40.49. 'AibmMSx ofuMurcd fotl HSC 29281 ❑ 6.SUCTION PIPING MEETS EXEMITION CRITERIA-jncCRg243U*K3)1 ago-s0. ❑ 7.NO REGlILAEED PIPING PER HEALTH AND SAFETY COD$DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490.51. °90 52 ❑ 99.OTHER(Spedfy) e9osx UPCF UST-D(12200'7)-H4 www.tuddoraorg