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SAN JG1WIN COUNTY ENVIRONMENTAL HEALT -ARTMENT UNDERGROUND STORAGE TANK MONITORING PLAN-(Pae 1 of 2) TYPE OF ACTION [11.NEW FORMAT ❑ 2.CHANGE OF INFORMATION 490-1 PLAN TYPE irl.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 FAIL�T� Cl ATIO } FACILITY ID#(Agency Use Only) t BUSINESS NAME(Same as FACILITY NAME) QUIK STOP MARKET#148 3. BUSINESS SITE ADDRESS 205 W.LOCKEFORD STREET 103. CITY LODI,CA 95240 104. E UIP ,, T TING _ P M TEN C Q., 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,and that such work must be performed by qualified personnel. (23 CCR§2632,2634,2638,2641) ________ ----------------------------- ---------------------------------------------------------------------------------------------------------------------------------- MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b NITUIt %�OC.AT�ONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAMMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 TV.T, Q tdR. 1 E O D:US, G T FOLL®W, G 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL RMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 ----------------------------------------------------- - - - -- --- - - ------ ---------------------- ,- - - - - - - --------------------- PANEL MANUFACTURER: VEEDER-ROOT(GILBARCO BRAND) 490-7 MODEL#: EMC 490-8 LEAK SENSOR MANUFACTURER: VEEDER-ROOT(GILBARCO) 490-9. MODEL#(S): 0794390-409 49010 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.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): 490-18 g•P• g•P• ( P fY)� a90-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 [34.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS Elb.60 HOURS 490-21 490-22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: ❑ a.ANNUALLY [Ib.BIENNIALLY Elc.OTHER(Specify): 490-2 ago-z5 ❑ 99.OTHER (Specify): 490-26 490-27 V.PIPEQNTO IS PE 0, .. .h D USING FOLIO „}< Tib®D(S)(Check 0-U that aPP13') h 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) ------SECONDARY-CONTAINMENT -- SECONDARY CONTAINMENT IS:eDRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 --- - --- - - - - - - - ---------------------------•---------------------------------------------------------------- PANEL MANUFACTURER: VEEDER-ROOT(GILBARCO BRANDED) 490-30 I MODEL#: EMC 490-31 490-32 1 490-33 LEAK SENSOR MANUFACTURER: VEEDER-ROOT(GILBARCO) - ; MODEL#(S): 0794380-208 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. Ea.YES ❑b.NO 490-34 AILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ea.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(23 CCR§2636) 490-36 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- MLLD MANUFACTURER(s): VAPORLESS&RED JACKET 490-37 MODEL#(S): 99LD2000&FX 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 - -- - -- ---- - - - - _T6.--•- - -- -- -- - -- - - 490-41 ELLDMANUFACTURER(S) 490-0-o. 1 MODEL aso-0-i -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-4z ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 4.PEPE INTEGRITY TESTING 490-45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 *Allowed for rmnitming of unburied emergency enerator fuel piping only 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 ❑ 99.OTHER(Specify) 490-52 490-53 ITPCF TNT-D(12/2007)1/4