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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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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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r� <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - (Page 1 of 2) <br />TYPE OF ACTION ❑ I. NEW PLAN ® 2. CHANGE OF INFORMATION 490-1. <br />PLAN TYPE ® 1. MONITORING 1S IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br />(Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. FACILITY INFORMATION <br />FACILITY M # (Agency Use Only) <br />t. <br />BUSINESS NAME (Same as Facility Name or DBA) 3. <br />7 -Eleven #19976 <br />BUSINESS SITE ADDRESS 103. <br />1399 N. Main <br />CITY Manteca 104. <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, which_e_ver is more frequent. Such work must be performed by qualified personnel. (3 CCR 12632, 2634. 2638. 264 1) <br />MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY C199.OTHER (Specify): 4990-3b. <br />III. MONITORING LOCATIONS <br />❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR 12632.2634) 490-4. <br />IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS) �teackall <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 1'-632.26341 <br />SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d UNDER VACUUM 490.6. <br />PANEL MANUFACTURER: VeederROOt 4907. MODEL #: TLS -350 490-8. <br />LEAK SENSOR MANUFACTURER: VeederROOt 490-9- MODEL #(S): 794380-302 490-10. <br />2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). [3 CCR 126431 411 <br />PANEL MANUFACTURER: 490-12' MODEL #: 490-13. <br />IN -TANK PROBE MANUFACTURER: 490-14. MODEL #(S): 490-13' <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16. <br />❑ d. MONTHLY ❑ e. OTHER (Specify): 49047. <br />PROGRAMMED TESTS:_ a. 0.1 h. b. 0.2 h. c. OTHER (Specify): <br />❑ g•P• ❑ g•P• ( P dY)� 490-t9._ <br />_4-18' <br />_ _❑ <br />❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [3 CCR 12646.1] 490-20. <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG)123 cCR 126451 TESTING PERIOD: ❑ a. 36 HOURS [Ib. 60 HOURS 490-21` <br />490-2?. <br />❑ 5. TANK INTEGRITY TESTING PER [23 CCR 12643.11 490.23. <br />490.24. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY C] c. OTHER (Specify): 490-23, <br />- --490-26... <br />❑ 99. OTHER (Specify): 490-22. <br />V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)thatack all <br />® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28. <br />11'2' CCR SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED Elc. PRESSURIZED ❑ d. UNDER VACUUM 4W29• <br />PANEL MANUFACTURER:VeederROOt 490.30' MODEL#: TLS -350 49x31. <br />LEAK SENSOR MANUFACTURER: VeederROOt 490-32. MODEL #(S): 794380-208 490-33. <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 434• <br />FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 490-11. <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. 123 CCR§26361 <br />MLLD MANUFACTURER(S): Vaporless 490.37. MODEL#(S): LD2000 490-38. <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CcR126361 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. ❑ a. YES ❑ b. NO 49044. <br />❑ 4. PIPE INTEGRITY TESTING. ---J---- ---- 490-45. <br />49046. <br />TEST FREQUENCY; ® a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 490-47. <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 monitoring of unburied emergency generaor fuel piping onlyper HSC §25281.5(b)(3) <br />❑ 6. SUCTION PIPING MEEi'S EXEMPTION CRITERIA. [23 CCR 12636(ax3)] 49050. <br />❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49051. <br />❑ 99. OTHER (Specify) - 4953 <br />490.53. <br />UPCF UST -D (12/2007) -1/3 www.unido4s.org <br />
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