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UPCF UST -D (12/2007) 1/4 AdhNIFIED PROGRAM CONSOLIDATED FOR q UNDERGROUND STORAGE TANK ;;;490-1 MONITORING PLAN - Page 1 of 2) TYPE OF ACTION ® 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION PLAN TYPE ❑ 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ® 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- 89 product I FACILITY INFORMATION FACILITY ID # (Agency Use Only) ' BUSINESS NAME (Same as FACILITY NAME) Convenience Retailers LLC #2705447 3. BUSINESS SITE ADDRESS 1469 East Hammer Lane 103' CITY Stockton 104. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. (23 CCR §2632,-2634,-263-82_264j) ---- - - - - --------------------------------------------------------------------------------------------------------------------------------------------------------------3a MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY El99.OTHER (p�)� S eci 490-3a 490-36 IIIC. MONITORING LOCATIONS ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)490-4 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): ® 1. 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 ❑ d. UNDER VACUUM 490-6 ------------"'------------------------------------------------------------------'--'-------------------------------"-------------------490-7 ---"-'----------------------------------------------------------------- PANEL MANUFACTURER:#: ----8 -Veeder-Root d -MODEL -TLS350 LEAK SENSOR MANUFACTURER: Veeder Root 490-9. i MODEL #(S): 402 490-10 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL #: 490-13 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- IN-TANK PROBE MANUFACTURER: 490-14. MODEL #(S): 490-15 ----------------'------------------------------------------------------------------------------------------------------------------------------------------------------------------------'------------------------------------------- LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16 ❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17 ---------------------------------------------------------------'-'------------------------------------------------------------------------------------------------------------------------------------------------------------------- PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHERS eci g.p.h. g.p.h. ( p fY)� 490-1s 490-19 ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490-20 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: Ela. 36 HOURS El b. 60 HOURS 490-21 go 22 ❑ 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490-23 FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHERS eci TEST FRE Q (Specify): 490-24 490-25 17199. OTHER (Specify): 490-26 490-27 V. PIPE MONITORING IS PERFORMED:USING THE FOLLOWING METHOD(S) (Check all that apply) ® 1. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: ®a. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM 490-29 - --------------------------------------------------------------------------------------------------------------------------------------------------------'---------------------------------------------------- 490-30 ! PANEL MANUFACTURER: Veeder Root i MODEL #: TLS350 490-31 --------------------- -- -------------------------------------------------------- - --t-------------------------------------------------------------------- 490-32 t LEAK Veeder Root f MODEL #(S): 208 490-33 -SENSOR -MANUFACTURER: PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. 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 PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 490-36 ________ MLLD MANUFACTURER(S): Red Jacket 490-37 MODEL #(S): FXV -1 490-38 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 490-39 -------------'-------------------------------------------------------------------------------------------------------------'--------------------------------------------------------------------------------------------------------- ELLD MANUFACTURER(S) 490-40. i MODEL #(S): ago--- PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-44 ❑ 4. PIPE INTEGRITY TESTING 490-45 TEST FREQUENCY ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 49046 490117 ❑ 5. VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49 ' Allowed for monitoring ofunburied emergency enerator fuel piping only per HSC §25281.5(b)(3 ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA [23 CCR §2636(a)(3)]. 490-50 ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETYCODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-5t El99. OTHER (Specify) 490-12 490-53 UPCF UST -D (12/2007) 1/4