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D PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Page 1 of 2) <br /> 490-1. <br /> TYPE OF ACTION ❑ 1-NEW PLAN ® 2-CHANGE OF INFORMATION <br /> 0-90-2. <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACRM- <br /> (7heck one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> L FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> 3. <br /> BUSINESS NAME(Same asFaciMyName or DBA) Love's Travel Stop#223 <br /> BUSINESS SITE ADDRESS ��� <br /> Toa. <br /> 1553 Colony Road Ripon <br /> M EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,pm-eobve maIDA--Cand-hl-t-of monitoring eq_pmemt(e_g.sews,p_besy b_I-k defedars,etc-)must be peafomwd at the$equmcy specked <br /> by the equqxnea mamdkeftwere msbuctions,Or amxWly,w ff Is more fiegueaL Such work must be pafanmo by quabfwd peffsomwL[23 cCR§263$2634.26-vs 26111 <br /> a9o-3a <br /> MONITORING EQUIPMENT IS SERVICED ® 1_ANNUALLY ❑ 99.OTHER(Specify). 490-3b. <br /> TIE MONITORING LOCATIONS <br /> 49o-a. <br /> ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2637,2634) <br /> [V_ TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(& Check 111 <br /> ® L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. <br /> WITH AUDIBLE AND VISUAL ALARMS.[23 ccR§2632,26341 <br /> SECONDARY CONTAINMENT IS: ® a-DRY [Ib.LIQUID FILLED ❑ c.PRESSURIZED ❑ d_UNDER VACUUM 490-6. <br /> PANELMANUFACTURER: Gilbarco 490-7- MODEL#: EMC 490$. <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490'3 MODEL#(S)r 420 a90-1o. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl.[23 CCR§26431 490-11.- <br /> PANEL MANUFACTURER: 49C}-12 MODEL#: 490-13. <br /> 490-1Q MODEL S• 490-15. <br /> IN-TANK PROBE MANUFACTURER: #( ) <br /> 90-16- <br /> LEAK TEST FREQUENCY: [I a.CONTINUOUS ❑ h DAI Y/N 1GHTLY [I49 c.WEEKLY 417. <br /> ❑ d.MONTHLY ❑ e.OTHER(Spw*)y 490 <br /> PROGRAMMED TESTS: [I a.0.1 g p b. ❑ b-0.2 g p h. ❑ c-OTHER(Sp-*r 4419. <br /> 490-20. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION 123 CCR§2646-11 __ <br /> ff- <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS [Ib.60 HOURS ata <br /> 490-22.. <br /> 490-23. <br /> ❑ 5-TANK INTEGRITY TESTING PER[23 CcR§26u-n <br /> TEST FREQUENCY: ❑ a_ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): -490-25.... <br /> 490.26. <br /> ❑ 99.OTHER(specify): 490-27. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Checkau <br /> that Zy) <br /> ® 1-CONTINUOUS MONITORING OF PHTAgPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. <br /> 11311-1 SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d UNDER VACUUM 490.29. <br /> 426361 <br /> PANEL MANUFACTURER:Gilbarco 490-3°. MODEL#: EMC 490-31. <br /> LEAK SENSOR MANUFACTURER Veeder Root 490-32 MODEL#(S): 208 490-33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(ie.,TURBINE)SHUTDOWN_ ❑ a_YES ® b.NO 490-34. <br /> FAII URE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a-YES ® b-NO 490-35. <br /> ® 2-MECHANICAL LINE LEAK DETECTOR(MILIA)THAT ROUTINELY PERFORMS 3.0 gph LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED•p ccR§263bl <br /> MLLD MANUFACTURER(s):VMI,FE Petro 490.37- MODEL#(S): 99-LD2M,STP-MLD+P 49038. <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p-I LEAK TESTS_[23 CCR§26%] 490-39. <br /> El LD MANUFACTURER(S): 49440- MODEL#(S): 490-41. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g p.h. ❑ b.M 4RALTM ANNUAL 0.1 g.ph 49042. <br /> Ell DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN- ❑ a-YES ❑ b-NO 490-43- <br /> ET J FARURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490x4. <br /> ❑ 4.PIPE INTEGRITY TESTING. 490-45. <br /> 90-46. <br /> TEST FREQUENCY: ® a.ANNUALLY [Ib.EVERY 3 YEARS ❑ c_OTHER(Specify) 490 447 <br /> ❑ 5.VISUAL PIPE MONITORING- 490-48. <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c-MIN.MONTIMY&EACH TRAE SYSTEM OPERATED* 490-49. <br /> •ASowedformaffios-gofu*a-demag-YBmmkcM -- only HSC§252815(6x3) <br /> ❑ 6-SUCTION PIPING MEETS EXEMYn0N CRITERIA[23 CCR§xWax3)I 490-50. <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAYTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 451. <br /> ❑ <br /> 99.OTHER(Specify) ---�---T490-52. <br /> 490-53. <br /> UPCF UST-D(12/2007)-116 www.unido4s.org <br />