Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - (Page 1 of 2) <br />TYPE OF ACTION ® 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />PLAN TYPE ® 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />(Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />I. FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />BUSINESS NAME (Same as Facility Name or DBA) <br />Chevron Station# 307709 <br />BUSINESS SITE ADDRESS 103. <br />10858 Trinity Parkway <br />CITY <br />Stockton, CA 95219 <br />U. 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 specified <br />by the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. [23 CCR §2632, 2634, 2638, 2641 ] <br />MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99. OTHER (Specify): 490-30-. <br />490-36 <br />III. MONITORING LOCATIONS <br />❑ 1. NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR §2632, 2634] 490-4 <br />ll <br />IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (ha l) <br />® 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 490-5. <br />WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,26341 <br />SECONDARY CONTAINMENT IS: E a. DRY E b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6. <br />PANEL MANUFACTURER: Veeder-Root 490-7. MODEL #: TLS -350 490-8 <br />LEAK SENSOR MANUFACTURER: Veeder-Root 490 MODEL #(S): Liquid Sensor Series 794380-303 490-10 <br />9.- <br />-- - - --- - ----- ------........ ....... <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). [23 CCR §26431 ago-1 i. <br />PANEL MANUFACTURER 490-12. MODEL #: 490-13 <br />IN-TANK PROBE MANUFACTURER: 490-14. MODEL #(S). 490-15. <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS DAILY/NIGHTLY Lj c. WEEKLY 490-16 <br />❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. <br />PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHERS (Specify): 490-18 <br />g.p.h. g.p.h. (Pe •1) 490-19. <br />E 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 CCR §2646.11 490-20. <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) 123 CCR §26451 TESTING PERIOD: ❑ a. 36 HOURS El b. 60 HOURS 490-22. 21 <br />❑ 5. TANK INTEGRITY TESTING PER [23 CCR §2643.11 490-23. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER(Specify): 490-24. <br />Q (SPe fY) 490-25. <br />490-26. <br />El99.OTHER (Specify): 490-27. <br />V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thatack l <br />) <br />E 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28. <br />[23 CCR§26361 SECONDARY CONTAINMENT IS: I--]a. DRY E b. LIQUID FILLED 1-3c. PRESSURIZED ❑ d. UNDER VACUUM 490-29. <br />PANEL MANUFACTURER: Veeder-Root 490-30. MODEL #: TLS -350 490-31. <br />LEAK SENSOR MANUFACTURER. Veeder-Root 490-32. MODEL #(S): Liquid Sensor 794380-208/304 490-33. <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. E a. YES ❑ b. NO 490-34, <br />FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a. YES ❑ b. NO 490-35. <br />E 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. <br />PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§2636] <br />MLLD MANUFACTURER(S): F.E. Petro 490-37. MODEL #(S): MLD, LDZ2000 490-38. <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§26361 490-39, <br />ELLD MANUFACTURER(S): 490-40. MODEL #(S): 490.41. <br />PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 490.42. <br />ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-43. <br />ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490.44. <br />❑ 4 PIPE INTEGRITY TESTING.------- -490-45. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER(Specify490.46. <br />Q (SI>e '7) 490.47. <br />❑ 5. VISUAL PIPE MONITORING. 49048. <br />FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 49049. <br />Allowed for monitoring of unburied emergency generator fuel piping only per HSC §2528 .5 3 <br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 CCR §2636(a)(3)1 490-50. <br />❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. <br />❑ 99. OTHER (Specify) 490-52. <br />490-53. <br />