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Allill"FIED PROGRAM CONSOLIDATEDF UNDERGROUND STORAGE TANK MONITORING PLAN - (Pa e 1 of 2) TYPE OF ACTION ❑ 1. NEW PLAN ® 2. CHANGE OF INFORMATION 490-1. 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 ID # (Agency Use Only) ,res BUSINESS NAME (Same as Facility Name or DBA) 7-Eleven # 20632 3 BUSINESS SITE ADDRESS 4627 Da Vinci Dr. 103. crrY Stockton lox �e ...... 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. Such work must be performed b qualified personnel. [23 CCR §2632, 2634, 2638, 2641] .....................................p....................Y.................... p ........................................................................ ... MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY El99.OTHER (Specify): 490-3b. ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632, 2634] 490-4. 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULTS) 490-5. WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,2634] SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6• PANEL MANUFACTURER: Veeder-Root 490-7. MODEL #: TLS-350 490-8. LEAK SENSOR MANUFACTURER: Veeder-Root 490-9. MODEL #(S): 794390-420 490-10. ❑ 2. AUTOMATIC TANK GAUGING ATG SYSTEM USED TO MONITOR SINGLE WALL TANK(S). [7.3 cCR §2643] 4ii PANEL MANUFACTURER: 490-12. MODEL #: 490-13. IN-TANK PROBE MANUFACTURER: 491-14. MODEL #(S): 490-15. LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16. ❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ OTHER (Specify): ago-18. ............................................................................................................................................................................................g.'P........................................................................._g. g.p.h. 891-19. .................4�_zii:.... 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 CCR §2646.11 ......................... ........... ................................................................ .............................................. .....I................................................................ ....................................................................................................................................................................................................................................................................................................................................................................... ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [23 CCR §26451 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 49x21. ................................................................................................................................................................................................................................................................................................................................................................................................................................................................. 490-22. ....................................................................................................... ® 5. TANK INTEGRITY TESTING PER [23 CCR §2643.11 490-23• TEST FREQUENCY: ❑ a. ANNUALLY 490-24. Q ❑ b. BIENNIALLY ®c. OTHER (Specify) SB989 every 36 months 490-25 490-26. ® 99. OTHER (Specify): Overfill protection -Flapper 490-27 ,. 1 i { cy 71 0-4- ® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28. [§263 SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-29. PANEL MANUFACTURER: Veeder-Root 490-30. MODEL #: TLS-350 891-31. LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL #(S): 794380-208 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 490-35. .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... X 2. MECHANICAL LINE LEAK DETECTOR (MELD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36- PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§26361 MLLD MANUFACTURE.R(SI.): Va orless 490-37. MODEL#(S): LD2000 490-38. ........................................................................... ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] 490-39. ELLD MANUFACTURER(S): 490-40. MODEL #(S): 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 490-42. 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 490-44. ............_........................................................................................................................................................................................................................................................................................................................................................................ ............................ ....................................................................dvo=ds:.... ® 4. PIPE INTEGRITY TESTING. 490-46. TEST FREQUENCY: a. ANNUALLY ❑ b. EVERY 3 YEARS ®c. OTHER .Specify) S8989 ever 36 mo. 491.42 ............................................................................................................................................................................................................................. ............................................................................................................................................................................ ❑ 5. VISUAL PIPE MONITORING. 490-48. FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49. ........._..........._.................-__.-,.-..-,.-„--.,,-,,.._.-..........* Allowed for monitorin of unburied emer enc enerator fuel i in onl r 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. ........................................................................................................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................ 490-52 ❑ 99. OTHER (Specify) . 490-53. UPCF UST -D (12/2007) - 1/4 www.unidocs.org