Laserfiche WebLink
0 0 RECENED <br />AUG 1 6 2007 <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - PAGE 1 ENVI <br />TYPE OF ACTION ❑ 1. NEW PLAN ® 2. CHANGE OF INFORMATION T/S Q <br />PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />Moz. <br />(Check one item only) ❑ THIS PIAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />L : FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />BUSINESS NAME (Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California LODICA02 <br />Moa. <br />BUSINESS SITE ADDRESS J-110 West Turner Road M04. CITY Lodi <br />MOS. <br />JEL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br />State law requites that testing, preventive maintenance and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) 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 />MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY mm. ❑ 99. OTHER (Specify): M07. <br />M. MONITORING LOCATIONS <br />This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, line leak <br />detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form, Hazardous <br />Materials Business Plan ma etc.) which shows all required infonnation, include it with this elan. <br />IV. TANK MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) <br />M10. <br />® 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED [I& VACUUM <br />Mn. <br />PANEL MANUFACTURER: Leak Apert M12, MODEL W: LA -94 <br />�i <br />M13. <br />LEAK SENSOR MANUFACTURER: pak Alert M14' MODEL #(S): LALS <br />MI5. <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINgLE WALL TANK(S) <br />MIT <br />PANEL MANUFACTURER M16. MODEL #: <br />IN -TANK PROBE MANUFACTURER: Mls. MODEL #(S): <br />M19. <br />LEAK TEST FREQUENCY: [3 a. CONTINUOUS [3b. DAILY/NIGHTLY ❑ c. WEEKLY <br />M21. <br />[3d. MONTHLY [3 e. OTHER (Specify):MM <br />21. <br />PROGRAMMED TESTS: (3a. 0.1 g.p.h. [3b. 0.2 g.p.h. ❑ c. OTHER (Specify): M22. 2423 <br />❑ 3. INVENTORY RECONCILIATION [3L MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 <br />M24' <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 <br />TESTING PERIOD: E3 a. 36 HOURS [3b. 60 HOURS <br />MzS. <br />❑ 5. INTEGRITY TESTING PER 23 CCR §2643.1 <br />M26. Mn <br />TEST FREQUENCY: C3 a. ANNUALLY E3 b. BIENNIALLY E3 C. OTHER (Specify): <br />❑ 6.VISUAL MONITORING DONE: ❑ a DAILY ❑ b. WEEKLY (towns wrxy a -ml) <br />M28. <br />❑ 99. OTHER (Specify): <br />V. PIPE MONITORING <br />MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) <br />M30. <br />® 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(SyrRENCH(ES) AND OTHER SECONDARY CONTAINMENT <br />c. PREURIZED ❑ d. VACUUM <br />SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED [3SS <br />M31. <br />PANEL MANUFACTURER: Leak Alert Mn MODEL #: LA -04 <br />M33. <br />#(S): LS <br />LEAK SENSOR MANUFACTURER: Leak Alert M34' MODEL L <br />M35. <br />WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? [3a. YES ® b. NO <br />M36. <br />WILL FAILURE(DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ® b. NO <br />M37. <br />❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW <br />WHEN A LEAK IS DETECTED <br />Mia. <br />M39. <br />MLLD MANUFACTURER(s): MODEL #(S): <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS <br />MODEL #: <br />ELLD MANUFACTURER:❑ <br />Mal. <br />b. MINIMUM ANNg.p.h. <br />PROGRAMMED IN LINE TESTING: C3g•P• a. MINIMUM MONTHLY 0.2 h. UAL 0.1 h. <br />M42. <br />WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />M43. <br />WILL ELLD FAILURE(DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a. YES ❑ b. NO <br />M44. <br />❑ 4. INTEGRrrY TESTING <br />TEST FREQUENCY: [Ia ANNUALLY n- b. EVERY 3 YEARS ❑ c. OTHER (Specify) Mos' M46. <br />❑ S.VISUAL MONITORING DONE: ❑ u DAILY ❑ b. WEEKLY* Cl c. MAV. MONTHLY & EACH TIME SYSTEM OPERATED" <br />M47. <br />" Rowres Y air Aauwed for aadWaa of WftfW W=9=Y 800MM W PPAS OWY PW RSC 125291-SM)(3) <br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR §2636(x)(3) <br />❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) <br />Mos. <br />❑ 99. OTHER (Specify) <br />hwfwm-d (9VZ4104) - V4 <br />