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UNDERGROUND STORAGE TANK MONITORING PLAN-PAGE I M01 TYPL''OF AC'T'ION ❑ I NEW PLAN ® 2 CIIANGE OF INFORMATION _ --- Mn± PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY (Check one:tem only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMS) I. FACILITY INFORMATION FACILITY ID U(Agency Use Only) Tj — L BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UE046/SKTNCA I I BUSINESS SITE ADDRESS 907 LINCOLN ROAD M04 CITY STOCKTON Moa. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)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. MONITORING EQUIPMENT IS SERVICED ® 1 ANNUALLY Mos. ❑ 99.OTHER(Specify): Mol III. MONITORING LOCATIONS 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 sensur,line leak detector,monitunng system control panel,etc.). Iryou already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,1 fazardous Materials Business Plan map,etc)which shows all required information include it with this plan. IV. TANK MONITORING Mtn MONITORING 1S PERFORMED USING THE FOLLOWING METLIOD(S):(Check all that apply) ® 1 CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) Mil SECONDARY CONTAINMENT IS: ® a DRY (3 b LIQUID FILLED ❑ c.PRESSURIZED ❑ d VACUUM PANEL MANUFACTURER VCeder ROOt M12 MODEL a: TLS-350 M13 LEAK SENSOR MANUFACTURER. Veeder RUOt M14 MODFI,AS):794390-420 Ara ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED-1'0 MONITOR SINGLE WALL TANK(S) M17 MtM1. MODEL#: ,_ PANEL MANUFACTURER. Mts. MODEL N(S): __—_� M19 IN=TANK PROBE MANUFACTURER. �— LEAK TEST FREQUENCY- ❑ a.CONTINUOUS [Ib.DAILY/NiGtl1'LY ❑ c WEEKLY Mzo ❑ d.MONTHLY ❑ e.OTHER(Specify): Mal. Max Mzs PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): Mzo. C13.INVENTORY RECONCILIATION ❑ a.MANUAL,PER 23 CCR§2646 Elb.STATISTICAL PER 23 CCR§2646.1 ❑ 4.WEEKLY MANUAL.TANK GAUGING(MTG)PER 23 CCR§2645 Mzs. TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 M20.M27 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ a OTHER(Specify): i ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(R"uim avmyuPPrm* Mgr. ❑ 99 OTHER(Specify): V. FIFE MONITORING M30. MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) ® 1 CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)rTRF.NCI I(FS)AND OTHER SECONDARY CONTAINMENT MJI SECONDARY CONTAINMENT IS: ® a DRY ❑ b.LIQUID FILLED ❑ a PRESSURIZED ❑ d VACUUM Mti M3) PANEL MANUFACTURER: Veeder Rook MODEL# TLS-350 n LEAK SENSOR MANUFACTURER Veeder Root M74 MODEL. (S) 794380-208 M33 WILL A PIPING LEAK AL ARM 1RIGGER AUTOMATIC PUMP(.e.,'IVRRINE)SitUTDOWN7 ❑ a YES ® b.NO M3l. WILL FAILIiRFIDISCONNF:C'I'ION OF"1'NE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ® b,NO M±r, ❑ 2 MECHANICAL LINE LEAK DETECTOR(MLLD)TIIAT ROUTINELY PERFORMS 3.0 gp h.LEAK TESTS AND RESTRIC'T'S OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED M39 MLLD MANUFACI'URBR(s): MIA MODEL N(S): ❑ 3 ELECTRONIC LINE LEAK DCrLCTOR(ELLD)THAI'ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS Moa MODEL.H: M41 [:LLD MANUFACTURER M47 PROGRAMMED IN LINT TESTiNO: ❑ a.MINIMUM MONTI ILY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M47 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO WILL ELLD FAILURE/DISCONNHCL'ION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ❑ 4.IN'T'EGRITY TESTING Mui M46 TEST FREQUENCY, ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c OTiIHR(Specify) ❑ 5 VISUAL MONITORING DONE ❑ a.DAILY ❑ b.WEEKLY* r�M�1 ❑Ic�MfN MONTHLY&&FAACIJ TIME SYSTEM OPERATED'Frsc tzs:rl 47 • qu.c.us s a• r sww�a r w C16.SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR 5261IZa)(3) ❑ % NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mar ❑ 99.9111ER(Specify) h0wre-d(9124/04) 214 000225