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AOL UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK (� MONITORING PLAN- Page 1 of 2) TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION 1 490 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only)❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 BUSINESS NAME(Same as FACILITY NAME)7-ELEVEN INC#35355 3. BUSINESS SITE ADDRESS 3202 W HAMMER LANE 103- CITY STOCKTON 104. II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be __performed bygualifledoersonneLS23 CCR X2632,2634,2638,2641Z -------------- 490-39 MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 4903b III. MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 49M VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ® a.DRY E] b.LIQUID FILLED E] c.PRESSURIZED [Id.UNDER VACUUM ° ---------------------- ---------- -------- 490-7. 490.9 PANEL MANUFACTURER: VEEDER ROOT MODEL#: TLS-350R ----------------------------------- -------- --- - -------------- LEAK SENSOR MANUFACTURER: VEEDER ROOT 490-s. MODEL#(S): 794390409 490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 490- 490.13 PANEL MANUFACTURER: 12. MODEL#: IN-TANK PROBE MANUFACTURER - 490 10-. - MODEL#(S): 490-19 --- --- ----------- - - - --- -- -- -- - - - - LEAK TEST FREQUENCY: F_] a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY 490-17 ❑_e_OTHER(Specify)_- ...-- ------ ---- - - ---- -- -- --- --18 ------ a90-1a PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: EJ a.36 HOURS El b.60 HOURS 44990-0,22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 490-24 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 El99.OTHER (Specify): 490.25 490.27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Cheek all that apply) ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND VISUAL 490.28 ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED [:]d.UNDER VACUUM 490-29 PANEL MANUFACTURER:VEEDER ROOT 490 MODEL#: TLS-350R 49431 30 LEAK SENSOR MANUFACTURER: VEEDER ROOT 490-32 i MODEL#(S): 794380-208 49033 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 49034 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-35 ® 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR§2636) --------------------------------- ------------ MLLD MANUFACTURER(S):FE PETRO(87 8491) 490-37 MODEL#(S):STP-MLD(87 8191) 490-38 VAPORLESS DSL 99LD2000 DSL ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) _________490-39 - -- -- - -- ELLD MANUFACTURER(S) 440 - MODEL#(S): ------4-9-0-41 ----------------------------------- -- --- ---------------------- - - --- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. El2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 490.43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 490.45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 4904549047 ❑ 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49 Allowed for monitoring of unburied emer ncy generator fuel piping only per HSC§25281.5(b)(3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)]. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 El 99.OTHER(Specify) 490-53 490-53 7-ELEVEN INC#35355, Belshire Environmental Services