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) <br /> 08/18/2009 TUE 14:01 FAX 2094683433 SJC EHD 0001 <br /> ftI <br /> Ir********************* <br /> *** FAX TX REPORT *** <br /> TRANSMISSION OK <br /> JOB NO. 2818 <br /> DESTINATION ADDRESS 919164431170 <br /> PSWD/SUBADDRESS <br /> DESTINATION ID <br /> ST. TIME 08/18 13:58 <br /> USAGE T 01' 54 <br /> PGS. 5 <br /> RESULT OK <br /> NEW WEST PETROLEM Fax Aug 13 2009 10:31am P015/022 <br /> X41.&e U aA\VVA.VV9taA G.Vd1JVAiAA1^A r1m rVA' <br /> UNDPERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page I of 2) <br /> TYPE OF.ACTION ❑1.NEW PLAN ❑ 2.CHANGE OF INFORMATION � 590.1 <br /> PLAN'TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490•' <br /> (Check one item only) ❑ 2.TI[IS PLAN COVERS ONLY THE FOIL OW ING UST SYSTEM(S)' <br /> _..._....... .. <br /> I. )FACILITY Ilt FOR°✓d.ATION ,.._......._. _.� <br /> FACT LiTY IU x(Agency Use Only) <br /> BUSINESS NAME(Same as FACILITY NAME)Flag City Shelf -� -•__.I - 1 _� <br /> 13USINP.SS SITE ADDRESS 6437 W.Banner St. <br /> II.EQUIPMENT TESTLN''G AND PREVENTIVE A1A1NTEPf.IR*CE <br /> i Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,Sensors,probes,line teak detectors,e.c)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions:or annually,whichever is more frequent,and that such work rn 15.be performed by qualified perso:mei. i <br /> z3 ccR �z�3z,zG;a,zees,z��t <br /> MONITORINGEQUIPMENT ISSERVICED ® I-ANNUALLY ❑ 99.OTHER(Spe;ify): ayaTt <br /> III.MONITORING LOCATIONS <br /> ❑ <br /> _ _ I A•vl�tY SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVII.JSLY SUBMITTED. (z3 CCR§2632, <br /> 2634)410.4 <br /> IV.TANK 1�ONITORING IS JP)EIa.FORMED USING THE FOLLOWS 3 METHOD(S): <br /> i.CONTINUOUS ELECTRONIC TANK MONUTORING OF ANNULAR(INTERSTITIAL)SPACES)OR�CCORDARY CONTAINMENT 490.3 <br /> VA T$ WITH AUDIKE AND VISUAL ALARINIS. 23 CCR§263 2634) <br /> UI. ( ) ( � <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED 0 e.PRESSURIZED ❑c'. 1NDER VACUUM 490.8 <br /> �................................................ <br /> --;ya;-•----_...,......_.__....,..--•0000---•--- <br /> Pa�>L IANurACTURER; seder Root 1 MODELa: TLS-350 9�g <br /> :...---------------------------•- ---__--__.__-------------_--_._._.__.---_..._.................M..__._--------_._._._____._.._. <br /> LPAK SENSOR MANUFACTURE?,: Veeder Root 40Q'9 1 MODEL VS): 420 490 w <br /> ( L. .AUTOMATIC TANX GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALT.TANK(S).(23 C CR§2643) 400.11 <br /> PANELMANUFACTURER: 490.12 MODEL n: 490.13 <br /> 0000,.,,-._ <br /> IN-TANK PROBE MANUFACTURER: 490.14 MODF,I.-, "�'•` <br /> ... 0000-_0000_ 0000__ ___......................................__-Ar <br /> _ LEAK TFST FREQUENCY: CONTINUOUS ❑ b.DAILY/NIGIITLY ❑ c.WI'LKLY 490.10 : <br /> ❑ d.MONTHLY <br /> ❑ e.OTH!R S coif 'YJ 17 <br /> :................--...-----------_.__..___�......___.___.0000---•0000_._._._.._-___0000_ ��.?'��.----------.,........__.,,...... <br /> .,__._.__-_._.._.... <br /> PROGRAMMED TESTS: ❑ a.0,1 h. ❑ b.0.2 420.11 <br /> �•P• B•P•h. ❑ c OTHER(Specify): .9 . <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49940 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§264$). TESTING PERIOD: ❑ a.36 AOURS ❑ h.60 HOURS 490'21 <br /> 05.TANK INTEGRITY TESTING(23 CCR§2643•I)c 490.22410.•1 <br /> TES•['FREQUENCY: ❑ a.ANNUALLY O b.BIENNIALLY ❑ c.OTHER(Specify): 490•=4 <br /> 490-.5 <br /> ❑99.OTHER (Specify): - 49pVA <br /> 4-M-27 <br /> j V.FIFE MONITORING-IS PERFOnIED USING THE FOLLOIA NG METH01)(S)(Check all Haat apply) <br /> ®1.CONTINUOUS MONITORING OF PIPE/PIPINQ SUA1P(S)AND OTHER SECONDARY CONTAINMEN T WITH AUDIBLE AND °9n•:8 <br /> VISUAL•ALARi1S. 03 CCR§2636) <br /> SECONDARY CON'I'ALN1.16NT IS:Oa.DRY ❑b.LIQUID F)LLFD ❑c.PRFSSURi7,F.D ❑d.UNDER-ACUUM " =0 <br /> 0000. 0000_ ......... <br /> PANEL.MANUFACTURER:Veeder Root 490 30 409.3 <br /> MODEL=: TLS-350 <br /> I--•- -_.__.__......-----..___._---...--•----••---•---._................-----••----____.._•___........._--0.00.0----- . � <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-3Z "O): 208 " <br /> _ _ _ MODi L= S: 208 <br /> PIPING;LEAK ALARM TRIWM.11S AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN.- - - - �- 91 a.YES <br /> __............. <br /> FAILL:RUMSCONNL•CTION OF THE MONITORING SYSTBM TRIGGERS AUTOMATIC PUMP S)!U1'U01t'v. Z a.YES ❑b.NO <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROU?UNELY PERFORMS 3.0 g.p.h.LFAK"f);STS.ANIS RESTRICTS OR$TINTS OFF I <br /> PROt)t_1CT FLOW*WHEN A LEAK IS DETECTEDL3 CCR§2636?..­__r........_..__....._..____._.__.....-_._._..._._.....•_.._....__.....__.-- 419 ' <br /> MILD MANUFACTUR(iR(S):VMI 499.3- naoDEL a(S): 99E D-2000 <br /> ❑ :.ELECTRONIC LINE LEAK DETECTOR(F.IA,D)THAT ROL!TINELY PERFORMS 3.0 g.p.h.LEAK TE STS (23 CCR§2636) <br /> _1:7 - A(:'r•••__-.. •_•_............... -- -- i <br /> IcLLD MANUPAC:TURERlS) 1 MODra 'is): <br /> I <br /> ............_= -0000. = - 0000-__.____.�__ ----_--- _---....._._ __....._..:... <br /> PRO!TRAMMED IN LINE.LEAK TIEST: ❑ 1.MINIMUM MONTHLY 0.2 S.o.h. ❑ 2.VIIN(MUtf.ANNUAL 0.1 g.n.h. '0"4` <br /> LL.i_D DL•TECTION OF A PIPING LEAK TRIGGFRS AUTOMArt/'Pt IMP su1 rrnnwM; r• <br />