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do SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-jPage 1 of 2 TYPE OF ACTION t.NEW PLAN C12.CHANGE OF INFORMATION 4901 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)- 1. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - - BUSINESS NAME(Same as FACILITY NAME)QUIK STOP MARKET#125 3. BUSINESS SITE ADDRESS 1580 WEST MAIN STREET 103 CITY RIPON,CA 95366 104. H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.&,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR§2632,2634,2638,2641 - 490.34 MONITORING EQUIPMENT IS SERVICED E1.ANNUALLY ❑ 99.OTHER(Specify): a90-3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. F12.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4go•4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWINGMETHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY_CONTAINMENT IS: Bea.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 _ PANEL MANUFACTURER: VEEDER-1110T(GIL_BARCO BRANDED) 490-7. 1 MODEL#: EMC(TLS-350 EQUIV) 490.8 LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490 9. MODEL#(S): 0794390-409 0-90-10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490.13 IN-TANK PROBE MANUFACTURER: 490"14. MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY _ ❑ e.OTHER(Specify): 490-17 49_. - ..._- 0-18 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ---[j b_0.2 g.p.h.� ❑ c.OTHER(Specify): - - -- 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 El 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 422 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: [:1a.ANNUALLY El b.BIENNIALLY C1 c.OTHER(Specify): 425 490-26 ❑99.OTHER (Specify): 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) t.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-29 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:I}7a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490'29 PANEL MANUFACTURER: VEEDER-ROOT(GILBARCO BRANDED) 4131 � MODEL M EMC(TLS-350 EQUIV) 490-31 LEAK SENSOR MANUFACTURER: VEEDER-ROOT 4s°-32 MODEL#(S)-079-4-380-208 --- 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ffa.YES ❑b.NO 490-34 FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. e..YES ❑b.NO 490-35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g p h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED_ 3 CCR 263 _ _ _ ^-_- _w -_�- 490-36 MLLD MANUFACTURER(S):VAPORLESS MFG ^490-37 MODEL#(S): 99LD2000 490-39 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 40-39 ELLD MANUFACTURER(S) �- 490-40.rMODEL#(S): - - 49041 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 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 4.PIPE INTEGRITY TESTING 49045 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490.4649047 5.VISUAL PIPE MONITORING. 49041 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490-4 I Allowed for nwnitoring of unbuiod armsency genamor fuel phag only per HSC 125281.5M3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 El 99.OTHER(Specify) 4 53 UPCF UST-D(11.12007)1/4