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' IED PROGRAM CONSOLIDATED FORAk UNDERGROUND STORAGE TANK MONITORING PLAN- (Page I of 2 490-1. TYPE OF ACTION ❑ L NEW PLAN N 2.CHANGE OF INFORMATION 490 z 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): h9 L'FACILITY'INFORMATION I'vii, _ .'- FACILITY ID#(Agency Use Only) - 3. BUSINESS NAME(Same as Facility Name m a Tower Mart #104 103. CRY 104. BUSINESS SUE ADDRESS 192 Lathrop Rd. Lathrop, CA 95330 11. EQUIPMENTTESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be perfomled at the frequency specified b the u] men[manufacturers'instructions,or annually,whichever is more frequent Such work must be performed by qualified personnel[z3 ccR 4?612.2634,2639.490 30-. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify) 490 3b. III. MONITORING LOCATIONS 4904.' ❑ L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 (Check all IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) That a I , ® I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[v CCR§2632,26341 d904i. SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑49-- MODEL 490.8 PANEL MANUFACTURER: Vedder-Root #: TLS 350❑ d.UNDER VACUUM 491-9MODEL#(S):0794390-420 ago-lo. LEAK SENSOR MANUFACTURER: Veeder-Root 490.11. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR9IN EAMK(Sl.[23 cert 32643] 491-U. 491-12. MODELM PANEL MANUFACTURER: 490.14 490-15. IN-TANK PROBE MANUFACTURER: MODEL#(S): 490.16. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYMIGHTLY 11 c.WEEKLY 49x17 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-18. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. Elb.02 g.p.h. 114 e.OTHER(Specify): 49x19. 90-20. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49o-u21. C34.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 490.23. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490.24. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ e.OTHER(Specify): .,,,__ ..... 490-25. ..... 490-26. 490-27. ❑ 99 OTHER(Specify) - :(Check all V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thata / ® L CONTINUOUS MONITORING OF PIPETIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [21 CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM a 1-21. §2636] 490.30. MODEL#: TLS 350 PANEL MANUFACTURER:Veeder-Root 490-32. 1- LEAK SENSORMANUFACTIIRER: Veeder-Root MODEL# 794390-420 a.YES ❑ b.NO 4W34- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® 490.35. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490 36 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TEST'S AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK 1S DETECTED.123 CCR§26361 890-37. MODEL#(S): 491-3a. MELD MANUFACTURER(S): 491-39. ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 490.41 ELLD MANUFACTURER(S):Veeder-Root 411- MODEL#(S): 0848980-001 490-02. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-03. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO ® a.YES ❑ b.NO 490-04' ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 490-45. ❑ 4.PIPE INTEGRITY TESTING. 490-06. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ... 890-4z 490-09. ❑ 5.VISUAL PIPE MONITORING. OPERATED. 490-49. FREQUENCY: ❑ a.DAILY C3 b.WEEKLY Allowed rm monams ran b.ied emr.0-EACH IDV gorily xHSC§§2TIME SYSTEM 815mi) 490.50. -ff 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(e)43)1 490-91. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. -490-92. 490.53. ❑ 99.OTHER(Specify) UPCF UST-D(12/2007)-1/4 www.unidocs.org