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FERED PROGRAM CONSOLIDATED Fed UNDERGROUND STORAGE TANK MONITORING PLAN - (Pagate 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. 490-2 (Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) I d 1, BUSINESS NAME (Same as Facility Name or DBA) 3. Super Center Mart BUSINESS SITE ADDRESS 103. CITY 104. 701 E. Charter Way Stockton 95206 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 §2632, 2634, 2638, 2641) - MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY [199.OTHER(Specify)_ 490-3a. Q � 490-3b. 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) ("eck all that 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,2634) SECONDARY CONTAINMENT IS: ❑ a. DRY ® b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 49" - PANEL MANUFACTURER: Veeder Root 490.7. MODEL #: TLS350& 490.8. LEAK SENSOR MANUFACTURER: Veeder Root 490.9. MODEL #(s): 794380-304 490-10. 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). [23 ccR §2643) 490-11. PANEL MANUFACTURER: 490-12. MODEL #: 490-13. IN -TANK PROBE MANUFACTURER: 49414. MODEL #(S): 490-15. LEAK TEST FREQUENCY: ® a CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16. ❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. PROGRAMMED TESTS: ❑ a. 0.1 h. ® b. 0.2 h. ❑ c. OTHER (Specify): 49x18' g•P• g•P• (P fY)� a90-19. ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 ccR §2646.11 490-20. ..... ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [23 CCR §26451 TESTING PERIOD: [Ia. 36 HOURS [I b. 60 HOURS 49202. ® 5. TANK INTEGRITY TESTING PER [23 CCR §2643.11 490-23' TEST FRE UENCY: ® a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHERS ci 490-24. Q ( � fy): 490-2s. 99. OTHER (Specify): --- - --- - _ 490-26. ❑ 490.27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS) heck all that apply) ® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28. [23 CC SECONDARY CONTAINMENT IS: ❑ a. DRY ® b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-29. PANEL MANUFACTURER: Veeder Root 490-30. MODEL #: TLS350 490-31. LEAK SENSOR MANUFACTURER: Veeder Root 490.32. MODEL #(S): 794380-208 490'33' 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 490-31. 2. MECHANICAL LINE LEAK DETECTOR (M LLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490.36. PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§26361 MLLD MANUFACTURER(S): Red Jacket 490-37. MODEL #(S): 490-38. ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] 490-39. 490-40. MODEL #(S): 490-41. ELLD MANUFACTURER(S): 1 PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a. YES ❑ b. NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 49044 ® 4. PIPE INTEGRITY TESTING. 490-0-5. 0-46 TEST FREQUENCY: ® a. ANNUALLY ❑ b. EVERY 3 YEARS [I c. OTHER (Specify) 490497 ❑ 5. VISUAL PIPE MONITORING. 49048. FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49. * Allowed for monitoring of unburied emergency generator fuel piping only per HSC §25281.5(bx3) ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 CCR §2636(ax3)] 490-50. ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DMSION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ❑ 99. OTHER (Specify) 49-0-53 s2. 53 . UPCF UST -D (122007) -1/3 www.unidoes.org