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-�� IED PROGRAM CONSOL ATED FO U ERGROU STO GE TANK MONMRING PL -(Pae I of 2) 490-1. TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490.2 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION 1 FACILITY ID#(Agency Use Only) J-] _ 3. BUSINESS NAME(Same as Facility Name or DBA) She" '-6 to3. CITY toa BUSINESS SITE ADDRESS 717 . 80' St. StOCkton U. EQUIPMENT TESTING AND P IVE M[AINTENANCE 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 ui t manufacturers'instructions,or annually,whichever is more frequent.Such work must be armed b ified onnel.[z3 CCR§z632,x634,a63sa9aaa MONITORING EQUIPMENT IS SERVICED ® l.ANNUALLY ❑ 99.OTHER(Specify): 0-9-36. III. MONITORING LOCATIONS 4904 . ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT FLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632.76341 'rMONITORING I PE O USING T FOLLOWING METHOD(S) (Caheck all'' 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632,26341 49x6. SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ PRESSURIZED ❑ d UNDER VACUUM 490-7- 4�g PANEL MANUFACTURER: Veeder Root MODEL#: TLS-350 a9o-9. - �:� 490-10. LEAK SENSOR MANUFACTURER: Veeder Root MODEL#(S):-28 a�-t 1. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(- M[23 CCRODEL#:L#: 490-13 PANEL MANUFACTURER: M 490.14. 490-1 5. IN-TANK PROBE MANUFACTURER: MODEL#(S): LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b_DAILY/NIGHTLY ❑ c.WEEKLY 490-16. 49-17. d.MONTHLY 0 e.OTHER(Specify): 490-18. PROGRAMMED TESTS: a 0.1 g.p.h. ❑ b.0.2g F h. c.OTHER(Specify): !9-19. 49-20. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§260-11 49-21 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26x51 TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 49-22. 49-23. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 49-24. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c_OTHER(Specify): 490 zs. 425. 49-27. ❑ 991PRODUCT OTHER(Specify): (Check all . PIPE MONITORING IS P USING FOLLOWING D(S) "that OUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENTWITHAUDIBLE&VISUALALARMS. 0-90-zs.NDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49-29.49-30. 49-31.L MANUFACTURER:V er Root MODEL#: ): 208 049-32. 490-33. SENSOR MANUFACTURER: Veeder Root MODEL#(S): 208 ® a.YES ❑ b.NO 0-9-30-.G LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a9-3s.a.YES ❑ b.NOURFJDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMAgTp C PUMP SHUTDOWN. ® 49-36.ICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 h.LEAK TESTS AND RESTRICTS OR SHUTS OFF FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 49-37. MODEL#(S): FXIDV/99 LD 2000 a�38. MLLD MANUFACTURER(s):Red Jacket/VMt 490-39. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS.[23 CCR§26361 490-41 ELLD MANUFACTURER(S): 4MODEL#(S): 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. ❑ a.YES ❑ b.NO 4`90-40-. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 490-49 ❑ 4.PIPE INTEGRITY TESTING. 490.16. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b_EVERY 3 YEARS ❑ c.OTHER(Specify) 490-47. 490-48. ❑ 5.VISUAL PIPE MONITORING. : 490-49- FREQUENCY: 90 49. FREQUENCY: ❑ a DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED .Aaowed for mm&wing ofunWried tui - ad HSC 25281. b 3 490-50. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§26361=x3)I 490-5t. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM. a90-sz. 490.53. ❑ 99.OTHER(Specify) UPCF UST-D(12/2007)-1/4 www.unidomorg