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UNWD PROGRAM CONSOLIDATED FORNV NDERGROUND STORAGE TANK MONITORING PLAN- (Page 1 of 2 FTYPEOFON 1.NEW PLAN ID 2.CHANGE OF INFORMATION 41' 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): I. FACILITY INFORMATION FACILITY M#(Agency Use Only) 1. BUSINESS NAME(Smne as Facility Name or DBA) 3 Food Mart Gasoline BU.WsWSS.SITEADDRESS 2185 Freemont Street 103. CIT Stockton 104. IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE 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.Such work must be performed by qualified personnel.[23 CCR§2632,2W 2638,26411 59858. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490.3b. M. MONITORING LOCATIONS ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 49". IV. WANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS; Viat apply) "heck all 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6- PANEL MANUFACTURER: Veeder Root 490-7' MODEL#: TLS 350 4988. LEAK STNSOR1v1ANUFAt,'TURER: Veeder Root 190'9' moDEL#(S): 794380-420 4w". 2.AUTOMATIC TANK GAUGING ATG SYSTEM USED TO MONITOR SINGLE WALL TANK(S). 23 CCR§2643 490.11• PANEL MANUFACTURER: 49812. MOD 490.13. IN-TANK PROBE MANUFACTURER: 49x14' EL#(S): agars. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY GHTLY ❑ c.WEEKLY 490.16. ❑ d.MONTHLY ❑ e.O (Specify): a9ar�. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.b. ❑ c. (Specify): 499109.18. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 ccR§2646.1] 490-20' ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 ccR§264s] TE G PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22 1' ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.B LY ❑ c.OTHER(Specify): 890 u' Q pe fy): 89825. ❑ 99,OTHER(Specify): 8 8982.1.27. 26 V. PIPE MONITORING IS PERFO D USING THE FOLLOWING METHOD(S) (Chapp eck lA ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS) THER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. § � SECONDARY CONTAINMENT IS: ® a.DRY b.LIQUID FILLED ❑ c.PRESSURIZED ❑ &UNDER VACUUM 490-29. PANEL MANUFACTURER:Veeder Root 490-30' MODEL#: TLS 350 4W31. LEAK SENSOR MANUFACTURER: Veeder R60t 490.32' MODEL#(S): 794380-208 49x33' PIPING LEAK ALARM TRIGGERS AUTO C PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 89838. FAILURE/DISCONNECTION OF THE MO TORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 4W35- 2.MECHANICAL LINE LEAK DETECTOR LD)THAT ROUTINELY PERFORM }0 g.p.h.LEAK TESTS 7XSrCTS OR SHUTS 4 36. PRODUCT FLOW WHEN A LEAK IS DE CTED.[23 CCR§§z63q/ q� z`�`�T a9a3�. MODEL#( � I 49838. MLLD MANUFACTURERS>:FE etro D I 111 "F `7MLD ❑ 3.ELECTRONIC LINE LEAK DETEC R(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.123 CCR§2636] 490.39. ELLD MANUFACTURERS 4900' MODEL#(S): 490-41. PROGRAMMED IN L EAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490'42' ELLD DETECTION O A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490.43. ELLD FAILURE'DISCONNECTION TRIGGERSAUTOMATIC PUMP SHUTDOWN. '❑ a.YES ❑ b.NO 490'44. ____._. -__.--.__.__... .-........_..,.._.....__. __..... ❑ 4.PIPE INTEGRITY TESTING. 89885. TEST FREQi,%/NCY: Cl a.ANNUALLY_ ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49047' ❑ 5.VISUAL PIPE MONITORING. 49°as' FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM,OPERATED 490.49. •Allowod for monitoring of unburied emerBencY gcnorator fuel P�P�B o�Y P��§25281.s(bX3)..�_�. ❑ 6.SUCTI PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(aX3)] 490-50' ❑ 7.NO GULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 89851. ❑ 99. THER(Specify) 89852. 89853. UPCF UST-D(12!2007)-114 J - www.unidocs.org