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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page 1 of 2) <br /> TYPE OF ACTION 1.NEW FORMAT [32.CHANGE OF INFORMATION 490' <br /> PLAN TYPE WT MONITORING IS 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. Ate ,RMA, , , <br /> FACILITY ID#(Agency Use Only) F A -,-� 0 0 0 6 2 2 3 2 <br /> BUSINESS NAME(Same as FACILITY NAME)QUIK STOP MARKET#132 3' <br /> BUSINESS SITE ADDRESS 3555 WEST HAMMER LANE 109' CITY STOCKTON 104. <br /> SII:EQUIPME , TESTING.AND PRE _ _� ANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 23 CCR§2632,2634,2638,2641 <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY [j99.OTHER(Specify): 4990.3b <br /> p ,O G �'< eATIONS <br /> 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. U 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR 12632, <br /> 2634 904 <br /> + , •+O -..GIS PE O D 1 G THE FOI3L0_;,�WING �THOD(�),; <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: ea.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 <br /> PANEL MANUFACTURER: VEEDER-ROOT 490-"- I MODEL#: TLS-350 49°0- <br /> LEAK SENSOR MANUFACTURER: VEEDER-ROOT 4909. MODEL#(S): 0794390409 490.10 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <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.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): 490.19 <br /> g.p.h. g•P• ( P fY)� 49019 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490"20 <br /> 21 <br /> El 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS [Ib.60 HOURS 4990-2222 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490'23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY [I c.OTHER(Specify): 4900--25 <br /> ❑99.OTHER (Specify): 490-26 <br /> 49arr <br /> go P EMO . O , PERFORMED US G THE,FOL SWING ME OD(S)(Check that apKly) <br /> iff 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-23 <br /> VISUAL ALARMS. (23 CCR§2636) �� <br /> SECONDARY CONTAINMENT IS:I.Qa.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> PANEL MANUFACTURER: VEEDER-ROOT MODEL#: TLS-350 490-31 <br /> LEAK SENSOR MANUFACTURER: VEEDER-ROOT 12 1 MODEL#(S): 0794380-208 490-33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. F,/a.YES [:1b.NO 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. �p a.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p b.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR 62636) - 490-36 <br /> MLLD MANUFACTURER(S): VMI&FE PETRO 490-37 MODEL#(S):99LD-2000&STP-MLD 490-38 <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) MODEL#(S): 490-41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490.42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49043 <br /> ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 <br /> 4.PIPE INTEGRITY TESTING 49045 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046490.47 <br /> 5.VISUAL PIPE MONITORING. 49048 <br /> FREQUENCY ❑ a.-DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 <br /> •Allowed for monitorins of unburied emaSmy gawmor fuel piping only HSC 125281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 49050 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-58 <br /> ❑ <br /> 99.OTHER(Specify) 49052 <br /> 0-90-63 <br /> .cam. <br /> s <br /> UPCF UST-D(12/2007)1/4 <br />