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IED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 490 -1' PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4%2. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) �- BUSINESS NAME(Same as Facility Name or DBA) 7-Eleven # 32190 BUSINESS SITE ADDRESS 103. CITY 1a. 4943 S. Kingsley Stockton II. 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,eqtupment manufacturersinstructions or annually whichever,is more frequent Such work must be performed by qualified personnel.f23 ccR 42632.2634 2638>6al l . .. IIID___ _ MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490 3e. Q P Yk 4�t-3b. III. MONITORING LOCATIONS ❑ L NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN E 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR§36».36341 4904, IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) th tap fu ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.123 CCR§3632.26341 SECONDARY CONTAINMENT IS: ❑ a.DRY X b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 400-6. PANEL MANUFACTURER: Veeder-Root 490-7. MODEL#: TLS-350 490.8" _ LEAK SENSOR MANUFACTURER: Veeder-Root 490-1. MODEL#(S): 794380-302 4v 10. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).123 ccR§z6431 -490--4 PANEL MANUFACTURER: 490-12. MODEL#: 4WI3. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 4017. _..___.....__PROGRAMMED TESTS0_a.0.1 8_P_h____......___❑_b_0_2 g-p-bc______......._ c.OTHER 490-IS. pecify):_(S .,. ...__4.929.____ ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 ccR§2U6.11 4o-20. ..... ......................______..__________ _..__. .........__ ______________-___ ............. _______ ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 ccR 42645] TESTING PERIOD: ❑ a.36 HOURS [Ib.60 HOURS 490-21. _______ --------------.. _............__. -49022_ ® 5.TANK INTEGRITY TESTING PER R3 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ® c.OTHER(Specify) SB989 every 36 months 4W-M. 490-25. ® 99 OTHER(Specify): Overfill protection-Flapper4490 6. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) t(hca ack'1ll 01 CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITII AUDIBLE R VISUAL ALARMS. 490-28. I23 CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49x29. $2636] PANEL MANUFACTURER:Veeder-Root 490-30. MODEL#: TLS-350 490-31. LEAK SENSOR MANUFACTURER: Veeder-Root 49x32' MODEL#(s): 794380-208 490.33, PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490.34. FAB,UREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 4-435. _DIET.. .._____ _ ..... .....______ .__ ________ _ ❑ 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p h LEAK TESTS AND RESTRICTS OR SHUTS OFF 4 -36. PRODUCT FLOW WHEN A LEAK IS DETECTED.In CCR§26361 MLLD MANUFACTURER(S): 490-31. MODEL#(S): 49x38. ..............................._____________..____.._..... IIID___ ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.123 CCR§26361 490-39. ELLD MANUFACTURER(S):Veeder-Root 490-40. MODEL#(S): PLLD 490.41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINUAUM 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°3' ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49-444. __ __.__---------------------------------------............................ ® 4.PIPE INTEGRITY TESTING. 49,045. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ® c.OTHER(Specify) SB989 every 36 mo. 4q 4W-46. _......__........____._________ ❑ 5.VISUAL PIPE MONITORING. 490-48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED. 490-49. ____................__-._-.__,.._.-_ IIID-___ -.,-.___*Allowetl for moonanng of unburied emer3eniy�enerarorPoPl�,onlyper HSC§3-tl15(b)(3),. ._._.____ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR 3'-636(4X3)1 090-50. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 090-s1. .. ........ ................. ............. .... ....._.._ ._.._....... ........ -,--. _...... ............. ❑ 99.OTHER(Specify) 490 s3. UPCF UST-D(1217007)-114 www.unido".org