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06/11/2008 WED 8: 14 FAX 2094683433 SJC EHD 01002/007 . • • UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pee I of 2) TYPE OF ACTION .NEW PLAN ❑ 2.CHANGE OF INFORMATION 49-I PLAN TYPE Jkl.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 49-3 (Check ono item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)' I. FACILITY INFORMATION FACILITY ID#(Agaicy Use Only) I I I - I I I 1 -1 1 1 1 1 11 BUSINESS NAME(Same as FACILITY NAME) T,(1W01t y/gKT Of/7,/ _ 3 BUSINESS SITE ADDRESS lq(JQ(I I„/Y !� 103 cITYLUC�F'GJ'"//n0 9S L�7 1� H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE 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 2634 2638 2641 MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): qy9-a,jp IH.MONITORING LOCATIONS FkrI.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLANWAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2630490-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4�6 VAULTS)WITH AUDIBLE AND VISUAL AJARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 09 _ PANEL MANUFACTURER: ✓&.v Ao/! lza"r MODEL#: LS ,J,1�7O ^ms LEAK SENSOR MANUFACTURER: /!/�/v��1 Ud-� a909 MODEL#(S): 2 G e9-lo 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED ATY,rI'/MONITOR SINGLE WALL TANK(S).(23 CCR§2643 °90.11 PANEL MANUFACTURER: " -2V"Vr R/IG 490'13. MODEL 490.13 IN-TANK PROBE MANUFACTURER__ �^ 490.14. MODEL#(S):. 49-16 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ o.WEEKLY 490.16 • _ ❑ d.MONTHLY ❑ e.OTHER(Specify): _ 0°0-13 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2g.p.h. ❑ c.OTHER(Specify): 49-18 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-30 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTINO PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490.31 490.22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490x3 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(S(Specify): 4902 P� 490-2s ❑99.OTHER (Specify): 490.36 490-21 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 49-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®'e.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER: 'Vyn A060490.30 MODEL#: 49-31 _LEAK SENSOR MANUFACTURER: VP OG aG ti'3' 490-J3 MODBL#(S): y 490J3 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. 09 a.YES ❑b.NO 490'34 AILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. YES ❑b.NO °9006 2.MHCHANICAL 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 41W36 MLLDMANUFACTURER(S): P4~ .�i r/tD 490.33 MODEL#(S): /� G 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS_3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLD MANUFACTURER(S) 490_40' 1 MODEL#(S): °90x1 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 02 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 49043 ELLD FAILURFJDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490"°4 4.PIPE INTEGRITY TESTING 4904$ TESTFRE UENCY &ANNUALLY b.EVERY3YEAR5 c.OTHER S if 49-4649043 ❑ 5.VISUAL PIPE MONITORING. 490.48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑e.MIN.MONTHLY k EACH TIME SYSTEM OPERATED- 49049 •AlI4xWfar moNbn ofwhnedemv me meeua Nel iin a,e HSC 3291.3 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 49040 • Fj 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.71S CONNECTED TO THE TANK SYSTEM 49-31 ❑ 99.OTHER(Specify) °490-52 05 UPCF UST-D(12/2007)114