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