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, P <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TANK. <br /> MONITORING PL - Page I of 2) <br /> i TYPE OF ACTION jl,NEW FORMAT El2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE Vt.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ago-a <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br /> i6#(Agency Use Only) F A 0 0 7 0 <br /> BUSINESS NAME(Same as FACILITY NAME)QUIK STOP MARKET#144 3. <br /> BUSINESS SITE ADDRESS 7272 WEST LANE 1Q3 CITY STOCTON 104' <br /> IL EQ....,.. , TES Gs ,P ., .•, , 'DN. ..CE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> is by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 3 CCR 2632 <br /> i_(- 2634,2638,2641 <br /> i -- - -------�---_----- ---- - --_--------__- - <br /> MONITORING EQUIPMENT IS SERVICED 1.----- - --ANNUALLY ❑--99.OTHER---(Specify): 499®0.3b <br /> III.. ..Q. ® ..... .G LOCATIONS <br /> ❑1.NEW SITE PLOT PLAN/MAPSUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)490-4 <br /> IV 'T <br /> �, O �. <br /> ,.,... _ . . .USTC' <br /> I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED C3 d.UNDER VACUUM 490-6 <br /> ---------- ---_ -_- --- - <br /> j PANEL MANUFACTURER: VEEDE -ROOT 440 7. MODEL#:-TLS-350----- --490 8 <br /> I LEAK SENSOR MANUFACTURER: VEEDER-ROOT -490 9' MODEL#(S): 0794390-409 490-10 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S!.(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 490a2. 49x13 <br /> - ---- ------- MODEL#: <br /> 0-90-10-. 490-15 � <br /> IN-TANK PROBE MANUFACTURER: MODEL#(S): <br /> ---------- --- ---_ -_-- - -------- - - --- -- ----- - - - -- <br /> LEAK TEST FREQUENCY: C] a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 0-90-16 <br /> ❑ d.MONTHLY-- -- _- ❑ e.OTHERS ecifY)• 490-17 <br /> P �_--- -_--_--- _------ <br /> PROD ED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS ci 490-19 <br /> g.p.h. g.p.h. (Specify): 490-69 <br /> El3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> f ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS C1 b.60 HOURS ago 490-21 <br /> z <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: El a.ANNUALLY [Ib.BIENNIALLY El c.OTHER(Specify): 4990--25 j <br /> 490.26 <br /> ❑99.OTHER (Specify): 490-27 <br /> V POE,MOIT® <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WTfH AUDIBLE AND 490-29 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> ( SECONDARY CONTAINMENT IS: a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29i <br /> PANEL MANUFACTURER: VEEDER-ROOT-_ 430 MODEL#_:_ TLS-350 - 4 " <br /> LK SENSOR MANUFACTURER: VEEDER-ROOT 490-3z MODEL#(S):0794380-208_--- 490-33 <br /> EA <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES [Ib.NO_ 490-34 <br /> FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Fla.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 7 <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED X23 CCR 62636} _ _ _- 490-36 1 <br /> --MLLD MANUFACTURER(S): VAPORLESS MFG.&RED JACKET 440 3' MODEL#(S): 99LD-2000&FX 490-39 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.b.LEAK TESTS (23 CCR§2636) ^- 490-39 <br /> ELLD MANUFACTURER(S) 410. MODEL#(S):- __ �- 490.41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1,MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. _ 49042 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 11a.YES 11b.NO 49043 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES Elb.NO 49044 <br /> El 4.PIPE INTEGRITY TESTING 49o.45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS ci 490-46 490-47 <br /> 5.VISUAL PIPE MONITORING. 49"9 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49 <br /> "Allowed for mDritoring of unburied emazency gmmtor fud piping only HSC§25281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)1. 490-50 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DSION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> 490-52 <br /> ❑ <br /> 99.OTHER(Specify) 490.53 <br /> UPCF UST-D(12/2007)1/4 <br />