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NIFIED PROGRAM CONSOLIDATED FOMW UNDERGROUNDSTORAGETANK MONITORING PLAN - (Pae 1 of 2) TYPE OF ACTION ❑ 1. NEW PLAN E 2. CHANGE OF INFORMATION 4961 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): L FACILITY INFORMATION FACILITY ID # (Agency Use Only) I I I I I I I I II BUSINESS NAME (Same as FACILITY NAME) COSTCO WHOLESALE GAS STATION #38 3. BUSINESS SITE ADDRESS 1616 EAST HAMMER LANE 103 1 cITY STOCKTON '00 H. 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 normally, whichever is more frequent, and that such work must be performed by qualified personnel. (23 CCR §2632, 2634, 2638, 264 MONITORING EQUIPMENT IS SERVICED E 1. ANNUALLY ❑ 99. OTHER (Specify): <93e III. MONITORING LOCATIONS ® 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑ 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)4904 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT 4965 VAULTS) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: ❑ a. DRY E b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 4966 PANEL MANUFACTURER: VEEDER ROOT__ 490,-'/' MODEL #:_TLS -350 49x8 LEAK sENsoR MANUFACTURER: VEEDER ROOT 490.9I MODEL #(s): 794380-301 490.10 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490-11 PANEL MANUFACTURER: 4W12. MODEL #: ------- 490,13 -- 490-14' MODEL #(S): -- IN -TANK PROBE MANUFACTURER: 490,15 __- --- LEAK TEST FREQUENCY: ❑ & CONTINUOUS - -- ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16 ❑ d. MONTHLY El e. OTHER (Specify): 4W1/ PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): n9Wo-:9 ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490-M ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 49021 490-22 ❑ 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 49623 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): 4WN 490-0 ❑ 99. OTHER (Specify): 490-26 49627 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) E 1. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 4WU VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: Ea. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM 490-25 PANEL MANUFACTURER: VEEDER ROOT 690.30 I_MODEL#: TLS -350 49WI 49°-32 MODEL#(s): 857080-112, 49x33 LEAK SENSOR MANUFACTURER: VEEDER ROOT 794380-352 (REG TI FILL) PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. E a. YES ❑ b. NO 49x34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a. YES ❑ b. NO 49035 ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 gph. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED (23 CCR §26 6 4W36 MLLD MANUFACTURER(S): 4963 MODEL#(S): 49038 E 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 49639 ELLD MANUFACTURER(S) VEEDER ROOT 49°-4°� MODEL #(S): PLLD -_ 490,41 PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 49042 EII.D DETECTION OFA PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a. YES ❑ b. NO 49°-43 EIIA FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a. YES ❑ b. NO 49 ❑ 4. PIPE INTEGRITY TESTING 4045 TEST FREQUENCY ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 4904649642 ❑ 5. VISUAL PIPE MONITORING. 49648 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 49049 •Mowe for mons nng of unbu emmewy n.w. Nel pipwx.nly w HSC §25281.5(1,)(3 ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA [23 CCR §2636(x)(3)]. 490-50 ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49651 ❑ 99. OTHER (Specify) 40.52 53 Belshire Environmental Services, Inc.