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2300 - Underground Storage Tank Program
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PR0231435
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BILLING PRE 2019
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Entry Properties
Last modified
2/9/2024 11:56:49 AM
Creation date
8/8/2019 4:19:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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' "PIED PROGRAM CONSOLIDATED FO' p /7 <br />UNDERGROUND STORAGE TANK <br />wih� <br />MONITORING PLAN - (Page 1 of 2) <br />TYPE OF ACTION ❑ 1. NEW PLAN ® 2. CHANGE OF INFORMATION <br />PLAN TYPE ® 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACH ITY. ' <br />(Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />BUSINESS NAME (Same as Facility Name or DBA) <br />7-Eleven # 19976 <br />BUSINESS SITE ADDRESS 103. <br />1399 N. Main Street <br />CITY <br />Manteca IIS. <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 />by the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be performed b qualified personnel. [23CCR §2632,2634,2638,26411 <br />P............................._Y._.................................... _ _ ..._...__.............-..._.............. - ---_ _....... <br />MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY El490 99.OTHER (Specify): 490-3b. <br />-3b. <br />III. MONITORING LOCATIONS <br />❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 133 CCR §2632,26341 490-4. <br />IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thatap 111) <br />® 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 490-5. <br />WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,26341 <br />SECONDARY CONTAINMENT IS: ❑ a. DRY X b. LIQUID FILLED tl. UNDER VACUUM 490-6. <br />Q ❑ c. PRESSURIZED ❑ <br />PANEL MANUFACTURER: Veeder-Root 490-2' MODEL#: TLS-350 490-8. <br />LEAK SENSOR MANUFACTURER: Veeder-Root 490-9. MODEL #(S): 794380-302 490-10. <br />........... --- - - --_.._..._.__.. _ - - <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL;f [23 cCR §26431 ...........-11. <br />PANEL MANUFACTURER: 490.12. MODEL#: 490-13• <br />IN-TANK PROBE MANUFACTURER: 490-14• MODEL #(S): 490-15. <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16. <br />❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. <br />PROGRAMMED TESTS: ❑ a. 0.l h. ❑ b. 0.2 h. ❑ c. OTHER (Specify): 490-18. <br />.. g.p. <br />------..._..- --...._._.490-19. <br />❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION 123 CCR §2646.11 490-20. <br />_................._............-__-........_..._.._._...._......._..._.._.......(---......._..... ........-------- ------ .._._.._....................... ............. _.........._.....__._..._.._....-_.................................---............. _................................... _.9 <br />❑ 4. WEEKLY MANUAL TANK GAUGING MTG) [23 CCR §26451 TESTING PERIOD: ❑ 36 HOURS ❑ b. 60 HOURS 490 21. <br />49.0-22. <br />. <br />® 5. TANK INTEGRITY TESTING PER [23 ccR §2643.11 490-23• <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ® c. OTHER (Specify) SB989 every 36 months 4 490-24. <br />...................................._......................................................................................................................._..........................................._...__.._.__.-.._.-.................................................................._........................... <br />® 99. OTHER (Specify): Overfill protection -Flapper 490-'-6. <br />490-27. <br />V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (cheack all <br />that® <br />1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28 <br />I23 361 SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED 490-29• <br />§2636] Q ❑ d. UNDER VACUUM <br />PANEL MANUFACTURER: Veeder-Root 490-30. MODEL #: TLS-350 490-31. <br />LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL#(S): 794380-208 490-33. <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 490-34• <br />FAILURE(DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 490-35. <br />_ ......_.-......................... --_..........._..-..-.--_...................................... _---........_...._...._-..._........----- -..........---...._..__.._......................._-_......-_-._._......._.....---.......... <br />2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36- <br />PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§26361 <br />MLLD MANUFACTURER(S):VaporleSS 490-37. MODEL#(S): LD2000 490-38. <br />...... _..__.... _................................._...... _ .... _....- ...._ ........... ................ <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] 490-39. <br />ELLD MANUFACTURER(S): 490-40. MODEL #(S): 490-41. <br />PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.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. 11 a. YES ❑ b. NO 490-44• <br />.................----._..._......_.._.._ <br />- <br />® 4. PIPE INTEGRITY TESTING. -� _..... _ 490-45-45- ... <br />_--_ --TEST FREQUENCY: - - ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ® c. OTHER (S ,ecif %) SB989 ever 36 mo. 490.46' <br />_ . _.__..-....-._ .._.._. I Y ago 0-7. <br />❑ 5. VISUAL PIPE MONITORING. 490-48. <br />FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490.49. <br />_ * Allowed, for, monitori ng of unburied.emerency �enerator.fuel Pilin& only Rer,HSC§25281 S(b)(3) <br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 CCR §2636(a)(3)] 490-50. <br />--.._._-_.._.............................-..-----._......__...--_ <br />_...__...._.............................................._... _.._.__�-__...__.__..._-._.. <br />❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. <br />.........................................................-................................._.......----...-_.-_.................. <br />❑ 99. OTHER (Specify) 490-52. <br />490-53. <br />UPCF UST -D (12/2007) -1/4 www.unidoes.org <br />
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