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SAN JOASN COUNTY ENVIRONMENTAL HEALTH PORTMENT <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page I of 2 <br /> TYPE OF ACTION ell.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE e7l.MONITORING IS IDENTICAL FOR ALL UST,AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br /> 1. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) - - 1 <br /> BUSINESS NAME(Same as FACILITY NAME)QUIK STOP MARKET#138 3. <br /> BUSINESS SITE ADDRESS 1153 LINCOLN BOULEVARD 103. CITY TRACY,CA 95376 104. <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> 23 CCR 2632,2634,2638,2641 <br /> EQUIPMENT IS SERVICED (11.ANNUALLY ❑ 99.OTHERS eci 490-3 <br /> MONITORING E <br /> Q (Specify): 490-3bb <br /> III.MONITORING LOCATIONS <br /> 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 112.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)49o-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 1.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 /> �p <br /> SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 <br /> ---------------------------- <br /> - - - - - - - - r ------------------------- <br /> -----------PANEL MANUFACTURER: VEEDER-ROOT GILBARCO BRANDED MODEL#: EMC TLS-350 E UIV <br /> --------------------------------------------------------------------------------------------------------------------------�------490-7.------------------------------- ------------------ ------�---------490-8-- <br /> LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490-9. j MODEL#(S): 0794390-409 49010 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 490-12. MODEL#: 490-13 <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 <br /> ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER490-18 <br /> g•P• 8•P• (Specify): 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> F14.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: Ela.36 HOURS El b.60 HOURS 490-2z <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERS eci 490-2 <br /> TEST FRE <br /> Q (Specify): 490-2 <br /> 5 <br /> ❑99.OTHER (Specify): 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) �,/ <br /> SECONDARY CONTAINMENT IS:I ..DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> ----- ---------------------------- <br /> - ---------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PANEL MANUFACTURER: VEEDER-ROOT GILBARCO BRANDED 490-30 i MODEL#: EMC TLS-350 E UIV 490-31 <br /> -- -------------------- ----------------- - - -� - - -- -- - -490-- - -- - -�- - - -Q -� <br /> --------------- -- -- <br /> 490-32 ; 490-33 <br /> LEAK SENSOR MANUFACTURER: VEEDER-ROOT ; MODEL#(S): 0794_380-208 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. [E a.YES ❑b.NO 490-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ea.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 <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR§26361--------------------------- 490-36 <br /> MLLD MANUFACTURER(S):VAPORLESS MFG 490-37 MODEL#(S): 99LD2000 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> - - ---------------------- - - - - - - 490-40. ' - -- -------------------------- <br /> 490-41 <br /> ELLD MANUFACTURER S ------------------- - I-MODEL#(S)_ -------------------------------------------- <br /> ------------------------------------------------------------------------------------------------------- <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490 <br /> -44 <br /> ❑ 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46 490.47 <br /> ❑ 5.VISUAL PIPE MONITORING. 490-4 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-4 <br /> *Allowed for monitoring of unburied emergency generator fuel piping only HSC§25281.5(b)(3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)]. 490-50 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> ❑ <br /> 99.OTHER(Specify) 490-52 <br /> 490-53 <br /> UPCF UST-D(12/2007)1/4 <br />