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NIFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN- Pae l of 2 TYPE OF ACTION [0 1.NEW PLAN E] 2.CHANGE OF INFORMATION 41 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 9942 Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)• L FACILITY INFORIMATION FACILITY ID#(Agency Use Orly) I r 1 - 1 - t BUSINESS NAME(Same as FACILITY NAME)Costco Manteca Gas Station#1031 3. BUSINESS SITE ADDRESS 2440 Daniels Street 101. 1 CITY Manteca 104, IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive mamt=wc,and cabbmition 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 CCR2632,2634,L638,2641) _ MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY [199.OTHER(Specify): 490 y HL MONITORING LOCATIONS 1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. 0 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4904 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4905 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4906 PANEL MANUFACTURER Veedw Root 4907. MODEL#: TLS-35OR LEAK SENSOR MANUFACTURER: Vender Root --� 49P9. MODEL#(S): 7943110-301 49010 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TK( ).(23 CCR§2643) a90'Ir PANEL MANUFACTURER: 49012. MODEL#: 4900 IN-TANK PROBE MANUFACTURER 49014. MODEL#(S): 49015 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ It.DAILY/NIGHTLY ❑ c.WEEKLY 49x16 ❑ d.MONTHLY ❑ c.OTHER(Specify): -_ 4901? PROGRAMMED TESTS: ❑ a.0.1 g.p.h ❑ 6.02 g.p.b. ❑ c.OTHER(Specify): 49Pi9 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49x20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD. ❑ a.36 HOURS ❑ b.60 HOURS 49021 490-22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 49025 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BINNNIALLY ❑ c.OTHER(Specify): 490-25 490.26 ❑ 99.OTHER (Specify): 49027 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) I.CONTINUOUS MONITORING OF PLPF/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.38 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a DRY ❑b.LIQUID FILLED_❑c.P_RESS_URDZED ®d.UNDER VACUUM 09029 PANEL MANUFACTURER:Veeder Root(VR) 490'30 MODEL#: TLS-350R °90-51 LEAK SENSOR MANUFACTURER VR suaW Interstitial&VR rump interior 490.N MODEL#(S): 304&112 490'33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑It.NO 4W34 FAILURE(DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-35 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 42636) 490-56 MLLD MANUFACTURER(S): 49°'37 MODEL#(S)_ 490-31 ® 3.ELECTRONIC LINE LEAK DETECTOR(.LLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 49 N ELLD MANUFACTURER(S)Veeder Root _ °90'00' MODEL#(S): 8484"1 49041 PROGRAMMED IN LINE LEAK TEST: ® 1.MINIMUM MONTHLY 0.2 g.p.h. ® 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 10 a.YES ❑b.NO 49044 4.PIPE INTEGRITY TESTING 4 5 TEST FRE UENCY Ia &ANNUALLY b.EVERY 3 YEARS D a OTHERS if 490.4649047 5.VISUAL PIPE MONITORING. 49°4s FREQUENCY ® a.DAILY ❑ b.WEEKLY ❑C.MM.MONTHLY&EACH TIME SYSTEM OPERATED- 49°49 •Albwd(or m99iio,m or4vtwe6 cm ora,el i NSC 5281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(aN3)l. 49050 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7IS CONNECTED TO THE TANK SYSTEM 490-5 ❑ 99.OTHERS 490.52(Specify) 49x53 UPCF UST-D(1212007)1/4