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S kN JOAQ U rN CHIC STY E' '1'N1E'NT,4,L HEALTH Dif.LA 1.11LINT
<br /> UNDERGROLND STORAGE TANK
<br /> NIONITOWNG PLAN—PAGE I
<br /> T'Y?EOF.ACTICN �],NE7PLAN ❑ 2.CHANCE OF NFO_RII
<br /> P LAN TYPE TYPE OF
<br /> one it MGMT01I IS IDENTICAL F3RA.LL LSTs AT 1`I:S FACILITY.
<br /> �e Item Only) ❑ TH:S P"COVERS ONLY
<br /> THE POLLOWrN'-LISTSY�TELM(S):
<br /> ..............; ............ ....
<br /> FACILITY J.D M(Agency Ljsc Ljn�ty)
<br /> FACJLL A T
<br /> Y NA."AE
<br /> Rancho San Micruel Market
<br /> FACELrry SITE ADDRESS,� , , — . .
<br /> t Wa U04 CITY
<br /> UIP FN Stockton
<br /> FN .ESTING,ALNI):: 'PREVLNIrll.Y.ENrm- N
<br /> State law rcquirc3 T E NAIN Cc i E,.
<br /> 'Dal tc"rn&PTtvmb�c rnskI and cabb—t—,UJ FTKJI11Wnng 0qujprrCnt
<br /> sccordltrxe with the equipment rnWufa="r1''ns1ruc'llics-Or XlnuaflY.Whi i v c u I. Ine c2cctars,atc. bc
<br /> MOMTORING EQUIpM v cr 3 awr frcq tin q P-fMmd m MOI
<br /> rNTtSSE-RVjCr-0 ;91 k ANNUALLY 99,OTIiER csptrit��:perfartrsedI,F'Naldied j)=on,j
<br /> 0,NS
<br /> INns
<br /> :M0N1T0R1N, * LIPRAT.
<br /> _G
<br /> hauing the grincral
<br /> line leak detector.MOIiLon 31141,etc If you ,tank and piping layouts and the igca I
<br /> In 9 System Corm-ol P m3dy b3-c i diagrun(C.3 b *I4crc rnIGnitanng is PCIfornned(i.e.,
<br /> �:ur-vnz US T Man i wring 6"Ic Illan 'malign of cash 5iinsor,
<br /> fQrnn,Hjuardou Mattng�� au�incss;Plan rna etc,}WhIc I Shaws 111 Wi-ed informalictl include 1 Syj tern CcrtifIcatign
<br /> -th Ihm plarl. f?0-A M43flitI in
<br /> 'V`
<br /> "NTc tXFORNIED USNG THE fOLLOWI-4G.MaTH00(s)
<br /> A'
<br /> NCO �vic� (Check Vf Mit apply}UOUS ELECTRONIC MONITORINIS OF TANKAM-ULAR(INTERSTITIAL)SPACE(s)OR S 0
<br /> SECONDARY CONTAIN.NJENT jS EC CONTA,MJEN'T VAUlI
<br /> - ut:%..CRY FIUEO C1 C,UNDER PRESSURE Rla
<br /> PANEL MANUFACTURE-P_- Veede!rR 11 d.CTOMER VACL-L-.V k1j.
<br /> LEAK SENSOR L%1ANUF,jC7t:,U P MODEL N: 3 11
<br /> 1�. I!I:! ",!!11 Oot %414.
<br /> Z.AUTOMATIC TANK CA LCAN,G(A I U)SYSTEM USED TOMONITORC;L I-,WA, _L'L__T_k Is_1K` MODEL#(S);
<br /> PANE L,%4ANlJFAC'rUREjj_ VeederRoot TLS-350— j -Z2A33_Q-2C8
<br /> IN-TANK PROBEM. A14UFA MODEL 848290-22
<br /> Ott a.
<br /> CTURLER: - VeederRoot IMOIDELM(S—-------
<br /> LEAK TEST FREQUE1,jCy: 13 *.CjJNj LNUO US b.DAILY"NIGHTLY 847390-109 M11.
<br /> ❑PROCRA.WMED TESTS: R1 d-MONTHLY 17 C-OTHEII(speclry): 13 c.WEEKLY 1420.
<br /> J.[NvENrop y R a. R.P.h. 0 b.0.2 1;P.h. 0 C-OTFIu(spocify): ---------------------, hu I
<br /> ❑ _ECC,\CILIATtCtN Cl a.MANUAL PER 23 CCR 52646 b.STATISTICAL PER:Zj CCR p6_ +ssz46.1 Mr
<br /> A,
<br /> WEEKLY V"N;UAL TANK GAUGING(.'ATG)PER 23 CCR§2645
<br /> TESTING PMOD; 0 0.36 HOURS b.60 HOURS
<br /> 5.NTEGR17Y TESTING PER 23 CCR§2643 1 M25
<br /> Ir-ST FREQUENCY. El 3.ANNUALLY
<br /> ❑Q 6.VISUAL MONITORING 0 b BIENNIA- LY c.OTHER(Specify);
<br /> DONE; 2.DAILY 0 b.WF3 EEKLY ——————————
<br /> 99 OTXER(SPe6fy)-
<br /> P
<br /> LIN I ON YT 0 f UNG':
<br /> &fON1TOR-NG IS PERFORMED USIZI T1.1E FQLLOwjNG%IE7140D(S)(ChKk all that apply)
<br /> IR I-CONTINUOUS)iLP-C'I'KONIC%40NITORNGOPPIPING SUMp(S)1,CREN,iC N SECONDARY CONTAINMENT M30
<br /> H(F S)A. 0 OTHER
<br /> SECONDARY COlI ENT IS: 00.DRY El b.LIQUID FILLED El C.UNDER PRESSURE
<br /> P&NELMANUFACTLIUR; VeederRoot TLS-350-p 0 d-UNDER VACUUM -i
<br /> LIAAK SENSOR MANLI-ACTURER: 1 "0' MCDF-L#. 848290-22
<br /> __'
<br /> WILL A PIPENG LEAK A1_A.LkNI TRIGGER AUTOMATIC?U&lp i,c..TURBINE)SHUTDI
<br /> MODEL#(S) 7JAIU-2 08
<br /> _ ales
<br /> WILL FAILURE/01SCON-4ECTION OF THF—MONITORMIG SYSTFM TRIGGER AUTOMATIC Pl,,mp 0 3-YES 0 b.NC) 1436
<br /> 2.-MECHANICAL UNE LEAK DETECTOR (NILLID) THAT ROUTINELY PERFOP 0 "ES IJ b.NO W7.
<br /> PRODUCT'FLOW WxFN A U-AX IS DETECTFO UMS 3.0 9 Ph. LEAK T�STS AND RESMICTS ❑
<br /> OR sM�Ts OFF
<br /> MLLD MANUFACTURERO); FE Pt-trQ '413
<br /> J.ELECTRONIC LFNE LEAK I)F-TECT'OR(ELL D}'CHAT
<br /> NIQDZL N(S): STP-MLD -E
<br /> ELLD MANUFACTURER; KOUT;NELY FERFOXII 3.0 9-P.h.LF-%-K TESTS
<br /> PKOGRA.%4M£J)LINE INI EGRITY TESTS: MODEL#:
<br /> CJ
<br /> W)(,L ELLD DETECTION OFA PIPING LEAK TRIGGER AUTOMATIC MN&sI�TDOWN? El k`-IWNNL14 AX INUAL 0.1 Z.p.h. X42
<br /> WILL ELLD FAfLUME)ISCON-,NECTK)N TRIGGER AUTOMATIC PLIYJP S UTI)OWN? ❑ JL.YES 0 b.No -3
<br /> .STrNG L YES 0 b.No —
<br /> T!.
<br /> 4 TNTEGR1TY TPSTING
<br /> ❑ T!ST FREQUENCY: C3 A.ANNUALLY C1 b.EVERY 3 YEARS 0 OTHER(SpI
<br /> 5.VISUALMOMTORING DONE: DAILY D b,WEEKLY- --------- M&I v-&
<br /> Ice 0 MONTTILY&EACH TjNfZ 5y,%_,L,%j OpEFI
<br /> ED 6 PIPING IS St:CTION PIPING MEETING ALL REQUIREMENTSAno—d f- 11447
<br /> FOR
<br /> EXEMPTt'O'N FROM MC141TORING PER 23 CCR 4206(a)(3)
<br /> 7 '40 PRODUCT OR REMOTE SILL PIPINC IS CONNECTED TO THE LIST(s)
<br /> ❑ 99 OTHER(SDecirv)
<br /> i,JCEH1)d(0710j)-1,,4
<br /> 9 L 39sid 2I00_12 H1-11i EcvEe9V607
<br />
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