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FEB-03-2007 00:54 7-ELEVEN INC NW DIU. 503 977 7711 P.03iO4 UNDERGROe—ND STORAGE TANK MOi erORING PLAN For use by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited- Title 23 CCR, Sections 2632(d)(1), 2634(d)(2), and 2641(h) TYPE OF ACTION ❑ 1.NEW PLAN ® 7,CHANGE OF INFORMATION MCI. PLAN TYPE 0 MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mut_ (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ FACILITY NAME 7-Eleven#17:3.34 Mm. FACILITY SITE ADDRESS 4501 N. Pershing M0"' CITY Stockton Mps. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak dotectors,etc.)be performed in M06. accordance with the equipment manufacturers'instructions,or annually,whichcvor is more frequent, Such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED 0 1.ANNUALLY ❑ 99.OTHER(Specify): W1 III. MONITORING LOCATIONS 'Ibis monitoring plan must inchtde a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line Irak detector,monitoring system contml panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S);(Check all that apply) M10_ ® 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR n(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: X a.DRY 0--1;, R�+�•' LLP11 ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M°. PANEL MANUFACTURER; y@ed@IRoot M12, MODEL#: TL5350 M1a, LEAK SENSOR MANUFACTURER: Vee@ t M14. MODELgsy 794390.420 Mia, ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SNGj1WALLj6BKfSj PANEL MANUFACTURER: M16MODEL#: M17. IN-TANK PROBE MANUFACTURER MI6, MODEL 4(S): M19. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY Mx. ❑ d.MONTHLY ❑ c.OTHER(Specify): ear. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): Ma. Mal © 3.INVENTORY RECONCILIATION [] a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M=° ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§264$ TESTING PERIOD- ❑ a.36 HOURS ❑ b.60 HOURS Ms. ❑ S.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY [3 c.OTHER(Specify): Ms. Mr. , ❑ 6.VISUALMONITORING DONE: ❑ a,DAILY ❑ b.WEEKLY prequan etency appm4 ❑ 99.OTHER(Specify): M78 V. PIPE MONITORING MON]TORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) Mo. ® 1.CONTINUOUS ELECTRONIC MONITORING Of PIPING SUMP(SYTRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: 0 a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM wi PANEL MANUFACTURER:VeederRoot Mia• MODEL#: TL5350 Mal_ LEAK SENSOR MANUFACTURER: VeederROot Mao. MODEL#(S): 794380-852 ave_ WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? 0 a.YES ❑ b.NO Mi6. WILL FAILURF/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? 0 a.YES ❑ b.NO Mli 0 2.MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED MLLD MAN UFACTURER(s):V200TIOSS & RedJaCket M'6' MODEL#(s): LD2,000& FX1V Mf°. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p,h.LEAK TESTS ELLD MANUFACTURER: "' MODEL#; M41. PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g,p.h. ❑ b.MINIMUM ANNUAL 0,1 g.p.h. ANi. WILL ELLD DETEL'I'ION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M41_ WILL ELLD FAILUREMISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ e.YES ❑ it,NO Mea. 0 4,INTEGRITY TESTING TEST FREQUENCY: 0 a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ a OTHER(Specify) sws. mop. ❑ S.VISUALMONRORINGDONE; ❑ a.DAILY ❑ b.WEEKLY- ❑ 0.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" Mor, •Requ'vn eaeaq,gpre.d ••All4wen tar 4faeiroriea erugyeu{ed emerae°eya�e�PT�4a Only per HSC 4Z33913(b)(l) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(x)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99,OTHER(Specify) Mor. UN-032A-1/3 www.unk oCLorg Rev.10/14/03