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06/04/2009 00:27 9252920074 GDF_SOLUTIONS FAX PAGE 06/15 <br />M UN1i I(ED PRM CONSOLIDATED FORM <br />UNDERMOUND STORAGE TANK <br />MONITORING PLAN — (Page I of 2) <br />TYPE OF ACTION 0 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION ' 1' <br />PLAN TYPE 0 1, MONITORING IS WENITCAL FOR ALL USTI AT THIS FACILITY. <br />(T;laret one �+ r1 02, THIS PLAN COVERS ONLY TM FOLLOWINO UST SYSTEM(Sj- <br />I. FACILITY INFORMATION A. <br />FACILITY M d (Agony Use Only) <br />' <br />BUSINESS NAME (SameasFadhVNdamrprDBA)Country Blub 76 a. <br />........._. .... _ . . <br />BUSINESS SCI'EADDRESS 2575 Country Club Blvd loa <br />Stockton oa. <br />U. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br />Tasting, preventive maintmaaee, and oolibmtim of monitoring equipment (P-&, smsota, probed, Jim: leak dtuW;W,& �,) mvagbe paforrocd at the f"qumey specified <br />b fie muipmetC mmnt�ciurms ins;cuctiort� or enauollyLwhidtava+s ttlOre IPta4�+i6 SvcA meat be.petformod..b�•9uniifiod_•„�e(s�anel.Jss cet,�es� xa,zaar0.�a1 <br />MONITORAIG EQUIPMENT IS SERVICED 0 1. ANNUALLY ❑ pR OTLTER (Spocl(y): 490-3b. <br />M. MONITORING LOCA'T'IONS <br />IN I. NEW STTle PLOT PLAN44A P SUBMITTED wrm THIS PLAN ❑ 2. SITE PLOT PLANAW PREVIOUSLY SURAT)ED tD = jmL2G341 470-4 <br />TV. TANK MONITORING IS PERFFORMI;D USING THE ]FOLLOWING METHOD(S) <br />T CONTINUOUS ELECTROMC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACR(S) OR SECONDARY CONTAINMENT VAULT(S) 490.5. <br />wITH AUDURZ AND VISUAL ALARMS. Ra om fmL 263a1 <br />SECONDARY CONTAINMENT IS: ®a DRY ❑ b. LIQUID FILLED ❑ e, PRESSURIZED ❑ & UNDER VACUUM 49 <br />PANEL MANUFACTURER. yeeder Root "wlMODEL o: TLS 350 <br />LUTAK SENSOR MANUPACTL7LeER: Veeder Root'9. MODEL 9: 490 10. <br />❑-2. AUT�OMATIC TANK GAUGING (ATG) SYSTEIbi USED TO MONITOR S�('�.,I��VALL TANK(S>. Ix3 cclt p2rc1I °90'"• <br />PANEL. MANUFACTURER: ° MODEL 4: ssa13, <br />IN -TANK PROBE MANUFACTURER: d90 j4' MODEL N(S): <br />LEAK TEST FREQUENCY: 0 a. CONTXNVOUS ❑ b. DALLYMIMITLY 0 r WFIMLY <br />Q d. MONTHLY 0 a OTHI?.R (Specify): ago t7. <br />PROGRAMMED TESTS: ❑ L 0.1 g.p.b. ❑ b. 0.2.it. [3cify : a OT;MR (Spe4004L <br />❑ 3, MONTHLY STATISTICAL INVENTORY RECONClI iATION.t2s CCR 425ed tN . �F <br />_ <br />❑ e. WEEKLY MANUAL TANK GAUGING (MIO) (23 CCR fmcfl TESTING PERIOD: ❑ a 46 mOUKS ❑ b ao HouRs ' <br />0 5. TANK INTEGRITY TESTING PER Its= 0649.31 <br />TEST PRE CY; ❑ & _ANNUALLY ❑ b. BIENMALLY ®c.OTXXLR 4�1° <br />T. <br />E399.OTHER S e.27 <br />V. PIPE MONITORING IS PERIFORMID USING THE FOLLOWING METHOD(S) all <br />dwamM <br />1, CONTLNUOUS MONITORING OFPIPZTWNG SUMP(S) AND OTHER SECONDARY CONTAMMENT WITH AUDTDLE� VISUAL ALARMS.,• _°96ya. <br />W� SECONDARY CONTAINMENT IS: 0 a DRY ❑ b. )LIQUID FILLED ❑ c. PRESSUREZED 0 d. UNDER VACUUM 490'a <br />PANEL MANUFACTURER: Veefte Root 400.30' MODEL A; TLS -350 ago sf. <br />LEAK SENSOR mmumcrustm Va9dor Root 490M. MODEL $(S): VR -309 VR 420 <br />PIPING LEAK ALARM TRIS AUTOMATIC PUMP (i.e., TT 1RBDM) SIFXVTDOV N. 0 a YES ❑ b. NO 49asd <br />FATLURWISCONNUCITON OF THE MONITORINO SYSTEM TRTOOM AUTOMATIC PUMP SRUTDOWN. 0 a. YES ❑ b• NO <br />2 MECHANICAL LINE LEAK DVMTOR (MLLP) THAT ROUTINELY PERFORMS 3.0 g.p h. LEAX( TESTS AND RESTRICTS OR SHUTS OFF 490-M• <br />PRODUCT FLOW WHEN A LEAK TS DETECTFO. I" CCa92nea1 <br />MLLD MANUFACTLURER(S : ssast. MODEL SIS mons. <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR M.LD) THAT ROUTINISLY PERPOP,MS 3.0 g.p.b. LEAK TESTS. Its ctatf4M 4W99. <br />ELLOMANUFACTURER(S): °"4Q, MODE msy. 49ott. <br />PROGRAMMED IN LENS LEAK TEST. ❑ r MIINUMM MONTHLY 0.2 g.p.n. O b. NffNUvfu I ANNUAL 0.1 &p•b. meJ' <br />ELLD DETFCTXON OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES Q b. NO 49x.43. <br />rLLD rAlLUV VV SCUNNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 >L YES _ ❑ b. NO 4*P <br />4. PEPE INTEGRITY TESTING. ” agoz. <br />TEST FREQUENCY: ❑ a ANNUALLY 0 b, EVERY 3 YEARS❑ c. OT[�R (S . <br />❑ S. VXSUAL PIPE MONITORING. . <br />FREQUENCY: ❑ & GAILY ❑ b. WEEKLY 0 a MLN• MONTHLY & EACH TIME SYSTBM OPERATED" <br />'AlWwad (orm amfimoof,mbaidanagx. amc+aiar0el dangatev oa FlSCf�$81. 0 <br />❑ d. SUCTION PLPING MEETS E7CEM noN CRITERIA. is catsms40m) 497- <br />_0 7. NO ARGVI.ATTED FONG PER HEATH AND SAFETY CODE, DMSION20, CFIAPTER s 7IS CONNECTED 70 THE TANK SYSTEM. 'Wsl. <br />® 99.OTIM( <br />SCirE9'$,FR�IiC�Ca' i12".v'Ow7r��" <br />;�I��Lres€lef?t ajCCs i,,�„ti <br />:Unknown <br />C•+Xeg BF��ex-n� 'I�!22fC5 'ilt.% <br />C. ,,,' ,*rlI i r. m ir -A-n <br />�''• B>;es,''#a3c� SP,1�'I43&17.�'Afilc� Y.. <br />�7�f1=.:aTLCd'•$,'1 �'tf8�,'t#�'<��'?\iK^ ! _ _ <br />?�t�cq^$ltisho�its a122�os 1*r?�-r4M ” ; <br />Font o0l 3r Auto <br />U�ca�UST La (Izr�ama;.Z(s .......... ...... ..... .. �*+►-aaLaaq,on —.... m.� .... ___ ... _..... . P' �,, _ <br />