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QIFIED PROGRAM CONSOLIDATED Ff I UNDERGROUND STORAGE TANK F. MONITORING PLAN - (Pae 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1. PLAN TYPE ® L 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): FACILITY ID#(Agency Use Only) I. FACILITY INFORMATION 1 BUSINESS NAME(Same as Facility Name or DBA) 7-Eleven # 17334 3 BUSINESS SITE ADDRESS 4501 N. Pershing 103. CITY Stockton u4. 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 equipment manufacturers' instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.1?3 CCR 52632 2634,2638.3641 MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY --- ❑ 99.OTHER(Specify): 4%3 4911-3b. III. MONITORING LOCATIONS ❑ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUB ITTED 123CCR§2632,26341 4%4 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) 'Check(B L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) --5- WITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632.M341 SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49x5. PANEL MANUFACTURER: Veeder-Root 4947. MODEL#: TLS-350 690-6' LEAK SENSOR MANUFACTURER: Veeder-Root 490"9. MODEL#(S): 794390-420 49410' .............._____............ _ _____.._............._.. ....._'_ E0:3 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl.123 ccR§z6a31 49411. PANEL MANUFACTURER: 490.12. MODE-L#: 49 13. IN-TANK PROBE MANUFACTURER: 49414. MODEL#(S): 49x15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 49x16. Eld.MONTHLY 11e.OTHER(Specify): 49417. _._.......___PROGRAMMED.TESTS__..___- a.0. g.p.h. [ _b:.0.2.g.p.h _,.____.._...❑ c.OTHER . ........... ❑ 3.MONTHLY STATISTICAL PIVENTORY RECONCILIATION 123 ccR§2646.11 490.20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MIG)Iz-CCR§z64s] TESTING PERIOD ❑ a. ----H---0- 0RS ❑ 6 60 HOURS 49 22. . 5.TANK INTEGRITY TES77NG PER[z3 ccR§z6a3.11 _-.. -_....49423. TEST FREQUENCY: a.ANNUALLY 4r)24. Q ❑ ❑ b.BIENNIALLY ® c.OTHER(Specify) SB989 every 36 months 441-25. ® 99.OTHER(Specify): Overfill protection-Flapper 490-M 44'7. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) �h"" ® L CONTINUOUS MONITORING OF PIPF/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 4%28- 123 CCR SECONDARY CONTAINMENT IS: ® DRY b.LIQUID FILLED c.PRESSURIZED 490x9. §26361 z. ❑ Q ❑ ❑ d.UNDER VACUUM PANEL MANUFACTURER:Veeder-Root 490.3°. MODEL#: TLS-350 49431. LEAK SENSOR MANUFACTURER: Veeder-Root 49432. MODEL#(s): 794380-352 49°33' PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490.34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 49435. 2.MECHANICAL LINE KD (MELD)THAT ROUTINELY PERFORMS 3 0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTSOFF 490.36. PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§26361 MLLD MANUFACTURER(S):Vaporle33 & Red Jacket 49437. MODEL#(s): LD2000 & FX1 V 49438. ❑ 3 ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.123 rat§26361 49439. ELLD MANUFACTURER(S): 490"40' MODEL#(S): 49441. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM 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 490-43- FI I 90-43.ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. [I [Ia.YES b.NO 494a4. ......... ® 4.PIPE INTEGRITY TESTING. ... .... _------------------------------__.-_ 49445. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ® C.OTHER(Specify) SB989 every 36 mo. 4 '46. ............ ❑ 5.VISUALPIPE MONITORING ___.._.__.... .............. ...__.__ ...._ 490-Os. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490'49 'Albwed fo ndorinl of unWriN.emergercY gererator fuelpp ng only�er HSC§3..813(6X3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[Xi CCR§2636(.X3)1 49430 .. .. ........... ------- -_ -.... ......... .......... _..__..____.... .___.._.. ❑ 7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49x51. ..............__ __ ❑ 99.OTHER(Specify) -_ __ ..._....___. ....._ d9US2. 49433. UPCF UST-D(122007)-V4 Svtrw.uoidoc9.org