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� E UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- P.&,I of 2) TYPE 6-PACTION ❑ I.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 PLAN TYPE ® L MONITORING IS IDENTICAL.FOR ALL LISTS AT THIS FACILITY. 4907 (Check one item ly) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(. I. FACILITY INFORMATION FACILITY ID#(Agenc\Use Onfv) t BUSINESS NAME(Same FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UE020/L DICA01 ' BUSINESS SITE ADDRESS 4 W. ELM STREET 03 CITY LODI __ H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE _ _ Testing,preventive maintenance,an alibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be pe ormecito the 1•reyuency Specified by the equipment manufacture "instructions,or annually,whichever is more frequent,and that such work must be perfon d by qualified personnel. (?3 CCR,2!32^2634,2638,2641)__ ------------- -- - -- ------------------- - -- - -- - ------------ - -- --- MONITORING E UIPMENT'IS SERVI D ® L ANNUALLY ❑ 99.OTHER S cify: Q ( Pe ) 490-3b III.MONITORING LOCATIONS _ ® I.NEW SITE PLOT PLAN/MAP SUBMITTWITH THIS PLAN. El 2.SITE PLOT PLAN/MAP PREVIOUS Y SUBMITTED. (23 CCR§2632, 2634 90.4 IV.TANK MONITO IS PERFORMED USING THE FOLLOWVG METHOD(S):- I.CONTINUOUS ELECTRONIC TANK MONITOMNG OF ANNULAR(INTERSTITIAL)SPA CE(S) SECONDARY CONTAINMENT ago-s VAULT(S)WITH AUDIBLE AND VISUAL ALA (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ® a.DRY b.LIQUID FILLED ❑ c.PRESSUR .UNDER VACUUM 490-6 ------------------"-------------------------------•_- - -- - .. .._ - ------......- _ - - - - --_•--------------- PANEL MANUFACTURER: VEEDER ROOT 480"7. #: TLS-350 490-e -- --_------ ----------__ --�_ _.--_.�_--LEAK SENSOR MANUFACTURER: Veeder Root 490.9 #(S): 794390-420 4v0.10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO NITOR SINGLE WALL T NK(S),(23 CCR§2643) 400"11 PANEL MANUFACTURER: a Iz MODEL#: 490"13 -- ----------------------------"----- _ ---____.-...-- - -- -- - --- - -- ----- -..- - ------------•--------------------- - IN-TANK_PROBE MANUFACTURER: 90.14. MODEL#(S): _ 490-15 LEAK TEST FREQUENCY-❑ a.CONTINUOUS -� _ El .DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY e.OTHER(Specify): 49p-17 PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h c.OTHER490-18 g.p.h. g.p. . ❑ (Specify): 490-19 ❑ 3 MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2$6.1\ 490-20 C] 4.WEEKLY MANUAL TANK GAUGING(MTC)(23 CCR§2645). ESTING RIOD: ❑ a.36 HOURS Elb.60 HOURS 440.21 49o.zz ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): x°0"23 TEST FREQUENCY: E] a.ANNUALLY C] b.BIENNIALLY ❑ .OTHER(Specify): 490.24 4vo-zs ❑99.OTHER (Specify): 490.27 V.PIPE MONITORING IS PERFORMED US G THE FOLLOWING M HODS)(Check all that apply) I.CONTINUOUS MONITORING OF PIPE/PIPI/SUMMP(S) ND OTHER SECONDARY CONTAI\ENTWITHTH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY FILLED ❑c.PRESSLIRIZED ❑d.UUM 490.29 ---------------- - - -- -- - ----------------------------- PANEL MANUFACTURER:Veeder Root 48x30 MS-350 490-31 - ------- - - --- -- - -- ..__..LEAK SENSOR MANUFACTURER: Veeder Roo490.32 I M94380-208 490-33 ------------ - --- _-_- - - - --- - -- - - - -------------------------- PIPING LEAK ALARMTRIGGERS AUTOMATICURBINE)SHUTDOWN. YES ®b.NO 490.34 FAILURE/DISCONNECT'ION OF THE MONITOR TRIGGERS AUTOMATIC PUMP SHUa. ES ®b.NO 49°-.ss 2.MECHANICAL LINE LEAK DETECTOR( LD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND STRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DET Cf ED 23 CCR 42636 490-36 MLLD MANUFACTURER(S): ;90-37 MODEL,#(S) 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECT (ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TEST'S (23 CCR§2 6) 490-39 - - -----------------•----------- --- - - - - ---- -- --------------------------------- - - -- -•----•----------•--------•-- ELLD MANUFACTURER(S) 490"40 i MODEL#(S): 490"41 ------------------------ --- - - ------------------------------------------------------------------------ ------------- - - ------------------- PROGRAMMED IN LINE.LEAK T T: ❑ 1.MINIMUM MONTHLY 0.2&p.h. ❑ 2.MINIMUM ANNUAL 0 1 g.p.h. 490.47- ELLD DETECTION OF A PIPIN LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49043 ELLD FAILURE/DISCONNE ION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 4.PIPE INTEGRITY TESTI G 49n-45 TEST FRE UENCY a.ANNUALLY b.EVERY 3 YEARS c.OTHER(Specify) 490-46490-47 5.VISUAL PIPE MONIYORING. 490.48 FREQUENCY ❑ .DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490-49 Allowed for mnitory46f unbuned emea;ency generator fuel piping only r HSC§25291,5(bX3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490.50 El 7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTE 490-51 49p•s2 ❑ 99 OTHER(Specity) 490-53