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,-007 MON 10:35 AM QUI STOP MARKETS FAX NO. 510 71544 SAN JOAQUIN COUNTY ENVYRO NTAL HEALTH DEPARTMENT UNDRRGROUNDSTORAGETANK MONITOWNG PL - PAGE I - TYPE OF 7TION Q 1. NEW PLAN _V'2. CHANGE OF INFORMATION PLAN TYPE VMONITOpjNG IS IDENTICAL FOR ALL USTS AT THIS FACILITY. (Check one item only) 13 THIS PLAN eovERs oNLYTHE FOLLOWING I sa SYSTEM(S); FACILITY INFORMATION FACILITY ID # (A,gency Use Only) );ACILNTY NAME: Quik Stop Market #39 CITY: Stockton, CA 95205 FACILITY SITE ADDRESS: 2285 East Fremont Avenue P. 05 H. EQUIPMENT TESTING P VE NTENANCE robes, line leak detectors, etc.) be perfotYncd in State law requires that �adng, prevvandve trtainkenan�, and calibration of bichever is equipment (e.g., sensors, p qualified el. accordance with the equipment m0m1fscw=' instructions, or artnuslly whichever is more fregttcnt Such wank musk be perfornled by q Mor. MONITORING EQUIPMENT IS SERVICED 1. ANNUALLY ❑ 99.OTHER (Specify): v III. MONITO G LOCATIONS (i.e., location of each sensor, This mwitoring plan must include a Site Pian &hewing the general tank and piping layouts and the locations where monitoring n pert fine leak detector, monitoring gyatem Control panel, etc.). (you alresdy'have a dia$r+m (e.$., currant UST Monitoring Site Plan from a Monitoring System Certification _., ,r.. ,,,. ur ,mans Business Plan rte, etc.) which shows all uirai information, include it with this Asn. MONNTORMG IS PERFORMED USING THE -FOLLOWING METHOD(S)'' (Check all that apply) ELECTRONIC MONITORING OF TANK ANNULAR (IN'IEIlSTl1�►1-) SPACB(S) OR SECONDARY CONTAINMENT VAULT(S) Mn t 1. CONTINUOUS SECONDARY CONTAINMENT IS: ❑ a. DRY SK. LIQUID FILLED ❑ c. UNDER PRESSURE Q d. UNDER VACUUM M13. PANEL MANUFACTURER: VOeder Root (Gilbarco Branded) M11. MODEL #: EMC 3.1 W4.GIL PA02593000002 MODEL #(S): sats, LEAK SENSOR MANUFACTURER: Veeder Rpt Gilbarco Branded) C WILL. A PIPING LEAK ALARM THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a YES D b. NO J32. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR MMODEL #: M17. PANEL MANUFACTURER: 8. Mt1s.Mts. MODEL a n(S): MLLD MANUFACTURER(s): VV - less Mf . DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. TESTS IN - 7I PROBE MAN UFACTURER LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ ❑ c. WEEKLY Spec �. ❑ d. MONTHLY e. OTHERDAILYI ),, ❑ e. OTHER (Specie): . PROGRAMMED TESTS: ❑ a. 0.1 s p.h. ❑ b. 0.2 $.pb. Q MANUAL PER 23 CCR §2646 (� e. oTHL;R (Specify): _ Q b. STATISTICAL PER 23 CCR $2646.1 M24. ❑ 3. INVENTORY RECONCILIATION a. Matti, tdta3. ❑ 5.VISUAL MONITORING DONE: ❑ a. DAILY Rook- b. WEEKLY• * Pvr C I aster yWoval ee p1bMed ft „m�oe1W of unburl� Y or fuel P�P� oob 6� Fi9C gzsaul.s(aR3? EXEMPTION FROM MONITORING PER 23 CCR 02636(ZX3) ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 ❑ 6. PIPING IS SUCTION PlP�1G MEETING ALL REQUIREMENTS FOR MMS. TESTING PERIOD: C3 a. 36 HOURS [] b. 60 HOURS ❑ 99. OTHER (Specify) 07/23/03 ❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: [a a. ANNUALLY Q b. BIENNIALLY M2d. ❑ a OTHER (Specify)_ _ M27. ❑ 6.VISUAL MONITORING NONE: ❑ a. DAILY Gj b. WEEKLY vl Mxa ❑ 99. OTHER (Specify): - - V. PIPE M014f `uxtrNu MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) SUMP(SjIT eNcH(ES) AND OTHER SECONDARY CONTAINMENT 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SECONDARY CONTAINMENT IS: a. DRY ❑ b. LIQUID FILLED Q c. UNDER PRESSURE ❑ d. UNDER VACUUM Mat. M33. PANEL MANUFACTURER: Veeder Root t'siibarco Branded N132. MODEI-#: EMC 3.1 MODEL #(S): GOJLE 02592000010 () Mas' LEAK SENSOR MANUFACTURER: Voeder Root (Gilbarco Branded) a. YES ❑ b. NO TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHU'T'DOWN? 'O6' 107, WILL. A PIPING LEAK ALARM THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? a YES D b. NO WILL FAILURE/DISCONNECTION OF 2, MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 gp.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED Mas. MODEL #(S): IJD2000 wo. MLLD MANUFACTURER(s): VV - less Mf . DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. TESTS 1441. MLEAK ❑ 3. ELECTRONIC LINE LEAK 41- MODEL#: - ELLD MANUFACTURM. PROGRAMMED LINE INTEGRITY TESTS, ❑ a. MINIMUM MONTHLY 0.2 g.p.h. Q b. MINIMUM ANNUAL 0.1 g.p.h. ❑ a. YES D b. NO Max. Mea. WILL. ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? (� a. YES C] b. NO WILL. ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ 4. INTEGRITY TESTING Mos. TEST FREQUENCY: ❑ a. ANNUALLY Q b. EVERY 3 YEARS ❑ c. OTHER (Specify) ❑ c. MQfk MONTHLY & SAOH 71M>r SYMfuel007ri Matti, tdta3. ❑ 5.VISUAL MONITORING DONE: ❑ a. DAILY Rook- b. WEEKLY• * Pvr C I aster yWoval ee p1bMed ft „m�oe1W of unburl� Y or fuel P�P� oob 6� Fi9C gzsaul.s(aR3? EXEMPTION FROM MONITORING PER 23 CCR 02636(ZX3) ❑ 6. PIPING IS SUCTION PlP�1G MEETING ALL REQUIREMENTS FOR ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Ma, ❑ 99. OTHER (Specify) 07/23/03 SJCEH" (07/03) -1/4