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Underground Storage Tank Monitoring Program 1. Operator/Site Number: Circle K Stores, Inc. Cost Center#2705447 RE#05447 TQSCO 2. Site Address and Phone Number: 1469 E HAMMER LN STOCKTON, CA 95209 ph. (209)478-1522 3. Method and equipment to be used for performing the monitoring (USTs only): TANK DATA: Tank 01 Tank 02 Tank 03 Tank 04 ------------- ------- - - - ;__ ____ ___ ------- --------- - ;- - - - Product Unleaded Premium Unleaded Unleaded Plus Diesel -------- -------------- - Capacity(gallons) 12068 - 10583 10583 - ---------1--0-5--8-3-- --------- -- ---------------------------r---------------------------:- ------- - - - - ---------- - - - Wall T e --------- ---------------------------- ----------------- ----------I--------------- YP Double Double ----- ---- -- ---- Double Double - - - - - material Fiberglass Fiberglass Fiberglass Fiberglass -- - - - ---------------- Install - - ------------------- ----------------------------;---------------------- Date 03/31/1998 03/31/1998 03/31/1998 � 03/31/1998 - - Flapper Valve(at 95/o) - _ __ - ----------------------- -- ------------------------------ , ve ill o -- - -------- -- - ---�---- - f Flapper Valve Flapper Valve Flapper Valve Spill - - - ------------------ - : -- ----------------- ------------------------------- ---------------------------- Containment Yes Yes Yes Yes Interstitial(Dry) Interstitial(Dry) Interstitial(Dry) Interstitial(Dry) Monitoring - - Method** PIPING DATA:- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -� - - - - - - - Pipe 01 Pipe 02 Pipe 03 Pipe 04 - - - - Wall T e - -------- -- ; Yp Double ------- -- -- - -- ------ --- --- -- ---- ---------------- - - ---- -- ----------------- --------- -------------------------- -Double Double Double Material Fiberglass Fiberglass Fiberglass Fiberglass - - ------------------- - , - - - Install Date - - - -, ----------------03/31/1998 r 03/31/1998 03/31/1998 03/31/1998 ------------------------•--------------------------- ---------------------------- ------------------------------------------------------------ Annual -- - ---- ------- -----. -- --- Annual Volumetric Test j Annual Volumetric Test j Annual Volumetric Test Annual Volumetric Test Method** — — -------Interstitial----- _--Interstitial__--.--_;-______-lntersfitial_ _--_----Interstitial j YesSump - - - - - -- - ------------- �- - --- ------------------- Containment ---- -- ------�----------- - - --- --- .Containment Yes Yes Yes Disp.Containment Yes - - ---------------------- --------------------------- --------------------- Present---- - - - -------------------------- Yes Yes- Yes--------- - - - - Monitor Probe Turbine Sump Turbine Sump Turbine Sump Turbine Sump Location- - - -- ------------------ - ; ; - - ------------------- - - ec Mechanical Leak ---------------- Detector Red Jacket FX1 Red Jacket XLD Red Jacket XLD Red Jacket XLD (manuf/model) - - - i - - - - -- -,- ---- - - ------- Electronic Leak ,--- - -- Yes Yes Yes Yes Detector Present __. ------ ----------- - If applicable, leak sensor and under-dispenser shut off mechanism model numbers are included in the attached Monitoring System Certification. - - ® - - - - - - - - - - - - - - - - - - - - - - - - - - -k - - - - - - - - - - - - - - - - - ELEMake: ®NIC MONITOR: 1 ADDITIONAL ELECTRONIC MONITOR ' ALARMS AND SHUTDOWN Make: Veeder Root i (for Waste Oil Tank): Make: None MECHANISMS (if present): Model: TLS-350 1 Model: 1 Piping equipped with audible/visual alarm,failsafe, I and positive shutoff. {2705447/05447 Circle K Stores, Inc., 1469 E HAMMER LN,STOCKTON,CA 95209 Date Printed: 08/02/2002