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1 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page I of 2) <br /> TYPE OF ACTION ❑I.NEW PLAN ® 2.CHANGE OF INFORMATION 490.1 <br /> PLAN TYPE ® I.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(,, <br /> L FACHXI7Y INFORMATION <br /> FACILITY ID#(AgeaZv Use On1v) _ I I I I I 1 <br /> 1 <br /> BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UE020/LODICA01 3• <br /> BUSINESS SITE ADDRESS )24 W.ELBA STREET 103 CITY LODI t04' <br /> II.EQUIPMEMT TZ9MG AND PREVENTIVE MAH417NANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frcqueancy <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work most be perforated by qualified personnel. <br /> 23 CCR§2632,2634,2639,2641 <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY El99.OTHER(Specify): 490.34 <br /> 490.3b <br /> ITL O O G LOCATIONS <br /> ®I.NEW SITE PLOT PL SUBMITTED WITH THIS PLAN. 0 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> MM90.4 <br /> IV.TANK MONITORING IS PEWORMW USING TU FOIXOWING MXTIIODM <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:__® a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d UNDER VACUUM 49" <br /> PANEL MANUFACTURER: VEEDER ROOT 499.7. MODEL M TLS-350 . <br /> LEAK SENSOR MANUFACTURER: Veeder Roof 490'9. MODEL#(S): 794390.420 490.10 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-Fl- <br /> PANEL MANUFACTURER: 490.12. MODEL#: 490-13 <br /> IN-TANK PROBE MANUFACTURER: 4"-"t MODEL#(S): 400-15 <br /> LEAK TEST FREQUENCY: ❑ s.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490.16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specifyy 40&17 <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(S i ): �- 400.19 <br /> g•P• g•P• P�fY 490-10 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> [34.WEEKLY MANUAL TANK GAUGING(MTC)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS '4 '21 <br /> 490.22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: [3 a ANNUALLY [3b.BIENNIALLY ❑ e.OTHER(Specify): 4Wu <br /> [I".OTHER (Specifyr 4�i <br /> V.PRE MOMORMIS PMWORMD USING TM FOLLOWING OD(S)(Check all dnt jkppW <br /> 70 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.29 <br /> VISUAL ALARMS.(23 CCR 12636) <br /> SECONDARY CONTAINMENT IS:Ma.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.29 <br /> PANEL MANUFACTURER:V Root J40S0 _MODEL#:_TLS-350 49031 <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-32 MODEL#(S): 201 _ 490'33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e..TURBINE)SHUTDOWN. ❑a.YES ®b.NO 490'34 <br /> FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ®b.NO 490.35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED L23 CCR§M 490-36 <br /> MLLD MANUFACTURER(S): 441-37 MODEL AS): 490.39 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p d.LEAK TESTS (23 CCR ) 490.39 <br /> _ELLDMANUFACfURER(S) 391'0 1 MODEL#(S):�R 49041 <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 FAILURFJDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO 400-m4 <br /> Lj 4.PIPE INTEGRITY TESTING 490-es <br /> TEST FREQUENCY 11 a.ANNUALLY Q b.EVERY 3 YEARS 0 c.OTHERS i 49046490-17 <br /> Lj 5.VISUAL PIPE MONITORING. 490.49 <br /> FREQUENCY ❑ a DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY A EACH TIME SYSTEM OPERATED- 490.49 <br /> ".tllov d for=!!M of unbtwW f sd r6C 25291 S b 3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(ax3)I. 490-50 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20.CHAPTER 6.71S CONNECTED TO THE TANK SYSTEM <br /> 490.51 <br /> ❑ <br /> 99.OTHER(Specify) 400-52 <br /> Je0.53 <br />