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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPA TMENT UNDERGROUND STORAGE TANK MONITORING PLAN- Pa e 1 of 2) TYPE OF ACTION 1.NEW FORMAT ❑ 2.CHANGE OF INFORMATION 490-1 PLAN TYPE W1 MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2 THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMS) FACILITY ID#(Agency Use Only) l 1 BUSINESS NAME(Same as FACILITY NAME) QUIK STOP MARKET#148 N 3. BUSINESS SITE ADDRESS 205 W.LOCKEFORD STREET 103CITY LODI,CA 95240 104. : .. �� T•)S3 a'�G�A�ND�P._ .�', �'' � E N✓ GL � Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must 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. 23 CCR 2632, ,26342638,2641) _ --------- - MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY El99.OTHER S eci 4901-39 ( P fY)� 0-901-3b ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. K2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490.4 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL S. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: Ira.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 _PANEL MANUFACTURER: VEEDER-ROOT "' MODEL#: TIS-350 490-8 LEAK SENSOR MANUFACTURER: VEEDER-ROOT 49°'9 MODEL#(S): 0794390409 490-101 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl.(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12" MODEL#: _- 490-13 0-90-14. #(S): 1490-15 _ _IN-TANK PROBE MANUFACTURER: MODEL LEAK TEST FREQUENCY: [3a.CONTINUOUS C] b.DAILY/NIGHTLY ❑ c.WEEKLY 490-1 ❑ d.MONTHLY ❑ e.OTHER(Specify): _ 490-177 0-901-10- PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL EqVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS C1b.60 HOURS 490-21 ago.zz 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 TEST FREQUENCY: C1 a.ANNUALLY El b.BIENNIALLY ❑ c.OTHER(Specify): antis 490-26 ❑ 99.OTHER (Specify): 490-27 �(Cfieckallthat?a 1 1.CONTINUOUS MONITORING vOFPIPEI PIPING SUMP( AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-39 __PANEL MANUFACTURER: VEEDER-ROOT 430 MODEL#: TLS-350^ 4s°-31 LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490-32 I .MODEL#(S): 0794380-208 _ 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ••• ate.YES C1 b.NO 490-35 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. llSa.YES C1 b.NO ago-3s 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF _ PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR§2636) 490-36 MLLD MANUFACTURER(S): VAPORLESS&RED JACKET 490-37 MODEL#(S): 99LD2000&FX 490.38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 411. i MODEL#(S): 490-41 ELLD MANUFACTURER(S) --_ ._i_. ( ) PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. F-12.MINIMUM ANNUAL 0.1 g.p.h. 49x43 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 0-901-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 4.PIPE INTEGRITY TESTING 490145 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046490-47 5.VISUAL PIPE MONTTORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MEN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.49 • All for monitoring of unburied emallency mentor fud piping only HSC 25281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 590-51 0-90-93 C199.OTHER(Specify) 490-53 UPCF UST-D(12/2007)1/4