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UE042 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- Pae 1 of 2) <br /> TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE ® 1.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 FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) I I I - I I 1 1 -11 <br /> BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UE042/SKTNCA01 3. <br /> BUSINESS SITE ADDRESS 345 N. SAN JOAQUIN ST. 103. CITY STOCKTON 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 <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 -- ® L ANNUALLY �- El 99.OTHERS -- 4903a <br /> Q ( Peci�')� 490-3b <br /> III.MONITORING LOCATIONS <br /> ®1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)490-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <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 490-6 <br /> - - - --- - -- --------- --__-- - - - -- -- - -- -_-_--- ---------------------------------- <br /> PANEL MANUFACTURER: Veeder-Root ago-z MODEL#: TLS-350 Plus 490-8 <br /> -------- -------------------------------------------------------- <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 411-9. MODEL#(S):(Ll)794390420 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 /> ------ ----------------------------------------------------------------------------490----- <br /> IN-TANK PROBE MANUFACTURER: a9°-1a. MODEL#(S): 490-1s <br /> ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS eci 490-19 <br /> g.p.h. g•P• (Specify): a90-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> 90-21 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS Elb.60 HOURS 490-22 <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERS eci 490- <br /> 24 <br /> TEST FRE <br /> Q (Specify): 490-25 <br /> r_199.OTHER (Specify): 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> ED 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> - -- --- --- -30 -- <br /> PANEL MANUFACTURER:Veeder-Root 490- MODEL#: TLS-350 Plus 490-31 <br /> 490-32 490-33 <br /> LEAK SENSOR MANUFACTURER: Veeder-Root MODEL#(S):(L4)794380-208 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ®b.NO 490-34 <br /> FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ®b.NO 490-35 <br /> El 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR 2636) 490-36 <br /> ------------------------------------------------------------- <br /> MLLD MANUFACTURER(S): 490-37 MODEL#(S): 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 /> -- -- - ------ ------------------- <br /> ELLD MANUFACTURER(S) 490-40. I 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 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 <br /> ❑ 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 <br /> ® 5.VISUAL PIPE MONITORING. 49048 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ®c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 <br /> "Allowed for monitoring ofunburied emergency enerator fuel piping only per HSC§25281.5(b)(3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> El 99.OTHER(Specify) 490-52 <br /> 490-53 <br /> UPCF UST-D Rev.(12/2007) <br />