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Underground Storage Tank Monitoring 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) California Underground Storage Tank (UST) Regulations require that facilities with USTs have a written monitoring plan describing equipment and procedures used to monitor tank systems for leaks. The plan must be approved by the local UST regulatory agency. If your facility already has a plan which has been approved by the local agency that regulates USTs in your jurisdiction, do not complete this document unless directed to do so by your local agency. This boilerplate plan is suitable only for the monitoring methods described below. If other methods are used, a different format may be required. Monitoring plans must be revised and submitted to your local agency within 30 days of any personnel change or other situation which affects the information they contain. Changes in UST monitoring equipment or procedures require submittal of a revised plan to your local agency for review and approval pjior to implementation. A current copy of the plan must be kept at the tank site. A. General Information Facility Name: USA Gasoline 3513 Site Address: 401 W. Kettleman Lane City: Lodi, CA 95240 E Tank and piping monitoring is identical for all USTs at this facility; or F-1 This plan covers only the following tank(s): El No electronic leak detection systems are used to monitor UST systems covered by this plan-, or The following type of electronic monitoring system performs leak detection monitoring for UST systems covered by this plan: Manufacturer: Veeder Root Model No.: TLS350 B. Tank Monitoring Tank monitoring is performed using the following methods: (Check all which apply) Continuous electronic monitoring of tank annular(interstitial)space or secondary containment vault. Leak Sensor Manufacturer: Veeder Root Model No.: 420 El Automatic Tank Gauging(ATG) system used to monitor single-wall L In-Tank Probe Manufacturer: Madel No.: Frequency of Leak Tests: F1 Continuous(e.g. CITLD, CSLD); [] Daily/Nightly; E] Weekly; F] Monthly; F_] Other(specify): Programmed Test Leak Threshold: 0 0.1 g.p.h.; E] 0.2 g.p.h. HManual Inventory Reconciliation(MIR). Weekly Manual Tank Gauging- Testing Period is: E] 36 hours; [] 60 hours. ❑ Tank Tightness Testing - Conducted: [] Annually; [1 Monthly; ElOther (specify): El Other (specify):