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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Pae I of 2) <br /> TYPE OF ACTION ❑ I.NEW PLAN ® 2.CHANGE OF INFORMATION J90.I <br /> PLAN TYPE ® I MONITORING IS IDENTICAL.FOR ALI,USTs AT THIS FACILITY. q9p-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(: <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) _ t <br /> BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T Califomia UE046/SKTNCA 11 3 BUSINESS SITE ADDRESS 907 LINCOLN ROAD 103 CITY STOCKTON 104 <br /> IL 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 L§31,2638,2641)_----------------- __ <br /> MONITORING EQUIPMENT IS SERVICED ® I,ANNUALLY C199.OTHER(Specify): 490.3440-3b <br /> III.MONITORING LOCATIONS <br /> ® 1.NEW SITE PLOT PIAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)4coo <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> ® I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACF(S)OR SECONDARY CONTAINMENT 490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: ® a DRY ❑ b.LIQUID FILLED ❑ c PRESSURIZED ❑d.UNDER VACUUM g90.6 <br /> - <br /> ------------•-----•------------- <br /> - ------ - - --- -- ------------------- _._... <br /> .....- ... _-... <br /> PANEL MANUFACTURER: VEEDER ROOT 49° T MODEL#: TLS-350 490-8 <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-9 MODEL#(S): 794390420 490-10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 440-11 <br /> PANEL.MANUFACTURER: 490-12 MODEL#: 490.13 <br /> - - - - - - _- -------___ __ -- --- ----- ---------------------- - - ------------------------------------....... <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 4vo.15 <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 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490.18 <br /> ago-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490.21 <br /> a9o-z2 <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49°-24490.25 <br /> ❑99.OTHER (Specify): 490-26490.27 <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:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> - ----- - - - ----- - - - - - --- - - - - -- - -- -- __----- ---------------------•-- <br /> 490-30 490-31 <br /> PANEL MANUFACTURER:Veeder Root - - -- ---- -MODEL#_ TLS�350--- _ - <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-32 MODEL#(S): 794380-208 490-33 <br /> - -----_- - ------ - - - - - - - -------•--------- --- - '---- ---- -- - ------ <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ®b.NO 490.34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ®b.NO 490'35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(ML,L.D)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§-2636) 490-36 <br /> MLLD MANUFACTURER(S): 490-37 MODEL#(S): 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 /> ----------------- ---------------------------------------- ------•-------•------•-----------------.-------. ------------------------ <br /> ELLD MANUFA(TFURER(S) 490. MODEL#(S): 490-41 <br /> -•------•-------------------- - - -------- _-- -------------------------------•---•----------------------------'_- _----•-----------------------------------------------­-­---------------- <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1 MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0 1 g.p.h. 49042 <br /> ELLD DE'T'ECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑a.YES ❑b.NO 49043 <br /> ELLD FAILORE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 440.44 <br /> ❑ 4 PIPE INTEGRITY TESTING 490-45 <br /> PI <br /> TEST FRE UENCY a.ANNUALLY b.EVERY 3 YEARS c.OTHER S eci' 4904649047 <br /> ❑ 5.VISUAL PE MONITORING. 49048 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 4g049 <br /> .Allowed for mmioring ofmbunedemergency gentralorfuel pipingmly per HSC 25281.5(6x3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 4v0-10 <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•S3 <br />