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Dec 13 10 01:50p p.2 Ah UrAlffbb PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MOMTORINGP -(Page 1of2 TYPE OF ACTION ❑ 1. NEW PLAN ® 2. CHANGE OF INFORMATION 49().1. PLAN TYPE ® L MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2. (Check mw item o*) ❑ 2. THIS PIAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Uje 0*)1. BUSIl4ESS NAME (Same as FacifdtyMame or DIU) 3' Ori Stop Market BUSINESS SITE ADDRESS 103• 115'i Lost Ave CITY 144• 95336 IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing, Preventive maintermcc, and ca]ibrAim of monitoring equipment (e.g., sennas, pmbes, line leak daccWM etc_) nurse be peribnned at the frequency specified by the i t mwu&cuXvW or 3MU211y, whichever is more fieguciaL Such work mag be . R CCR §2632 21634.2m, W41 49&30-. MONMOR1NG EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99.OTIiER (Speedy}: 49&36. ITL MONITORING LOCATIONS ❑ 1. NEW STTE PLOT PLAN"SUBMITTED WITH THIS PLAN Im 2. SITE PLOT PLAN AAP PREVIOUSLY SUBMITTED [23 art §2632.2634] 490.4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (checkaff 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. 123 CCR §263; 26341 SECONDARY CONT IS: N a DRY [Ib. LIQUID FILLED ❑ C. PRESSURIZED ❑ d UNDER VACUUM " PANEL MANUFACTURER: Veeder Root 490.7. MODEL #. TLSWO 49". LEAK SENSOR MANUFACTtiRER V @r ROO t 490-9 MODEL S): 790 2W 490-10. 2 AUTOMATIC TAMC GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL T L [23 oaa PM31 11 PANEL MANUFACTURER: 49Q-12 MODEL #: 490-13. IN -TANK PROBE MANUFACTURER: !C MODEL #(S}: 4W15 LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b. DAILYINIGHTLY ❑ c. WEEKLY /9°'161 ❑ d. MONTHLY ❑ e OTHER (Specify): 490617. PROC TESTS: ❑ a. 0.1 g p.h I b. 0.2 g.p.h El a OTHER (SpecijW. 490-19.18 [33. MONTHLY STATISTICAL INVENTORY RECONCILIATION las cat §2646-11 a9&�_ ❑ 4. WEEKLY MANUAL TANK GAUGU40 (MTG) P3 cc R §ms1 TESTING PERIOD: ❑ a 36 HOURS ❑ b. 60 HOURS � 1' 49a-zz. 49&23. ❑ 5. TANK INTEGRTTYTESTING PER lzsoeawom 490-24. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ e. OTHER (Specify): 490-25. ❑ 99.OTHER (Specify): 490.27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWINGMETHOD(S) thm WPM ® 1. CONTINUOUS MONITORING OF PIPEMMING SUMPS) AND OTHER SECONDARY CONTAWM NT WITH AUDWLE & VISUAL ALARMS_ 40'- 1'3 � SECONDARY CONT lS: ®a DRY ❑ b_ LIQUID FILLED ❑ c PRESSURTLED ❑ d UNDER VACUUM 49&29. (2636] 490-31. PANEL MANUFACTURER: Veeder Root 490"30' MODEL #: TLS350 LEAK SENSOR MANUFACTURER Veeder Root 490,1* MODEL #(S� 790- a9a 3s' PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (t.e., TURBINE) SHUTDOWN. ® a YES ❑ b: NO 40`X FAILURMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a YES ❑ h NO ta 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 &pE- LEAK TESTS AND RESTRICTS OR SHUTS OFF . PRODUCT FLOW WHEN A LEAK IS DE'T'ECTED. 123 CCPP6361 MLLD MANUFACTuRER(S): FE Petra MODEL #(S). STP -MLD 490-M. ❑ 3. ELECTONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g"JLt LEAK TESTS. P3 cItPfi 3 49039' R ELLD MANUFA+CTURER(Sx . MODEL #(S)• 49041. -M PROD IN LINE LEAK TEST: ❑ a MMMUM i O HLY 0.2 g.ph ❑ b MIMMM ANNUAL 0.1 9.P IL 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b. NO 491143. ELLD FAILUREIDISCONNE:CTiON TRIGGERS AUTOMATIC PUMP SFRrm0WN. ❑ a YES ❑ b. NO 4 • 490-45. ❑ 4. PIPE: INTEGRITY TESTING. 490L16. TEST FREQUETdCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 49047. 490.48. ❑ 5. VISUAL PIPE MONITORING. 490-49. FREQUENCY: ❑ & DAILY ❑ b. WEEKLY ❑ c_ MIN MONTMY & fiACH TIME SYSTEM OPERATED* 9 Aftwed fix EIEC MUM 49&50. ❑ 6. SUCTION PIPING MEET'S EN EMPTIiN CRITERIA [23 CM §MW x3)] ❑ 7. NO REGULATED PIpm PER HEALTH AND SAFETY CODE, DIVISION 20, CHAFMR 6.7 IS CONNECTED TO THE TANK SYSTEM. 490.x1. 49452. ❑ 99. OTHER (Specify) 490' UPCF UST -D (12!207) -113 www.unidocsmg