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'UNIFIED PROGRAM CONSOLIDATED FORD <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Page 1 of 2) <br /> 4941 <br /> TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION 490.2 <br /> PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br /> Check om item only) ® 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( <br /> Tank#t,#2,and#3 <br /> nTESTMG <br /> FACILITYNFORMATION 1 <br /> EACH=ID#(Agency Use Only) 3. <br /> BUSINESS NAME(Some as FACILITY NAME) Co .658) <br /> IM. <br /> BUSINESS SITE ADDRESS 3250 West Grant Line m. CITY Tracy <br /> H.EQUIPMEPREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,avd calibmtioo of monitoring equipment(e.g.,sensors,probes,line leak detectors,em.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work mus[be perfomled by qualified personnel. <br /> 23 CCR 2632 <br /> 2634,2638,2641) 490-31 <br /> MONITORING EQUIPMENT IS SERVICED L ANNUALLY ❑ 99.OTHER(Specify): 490-31 <br /> IH.MONITORING LOCATIONS <br /> MI.NEW SITE PLOT PLANIMAP SUBMITTED WITH TRIS PLAN. ❑2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)4"4 <br /> ][V.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 490-s <br /> © 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) 490,6 <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY ❑H b.LIQUID FILLED ❑ a PRESSURIZED ❑d.UNDER VACUUM 49M <br /> Veeder-Root 490-7' MODEL#: TLS-MR - <br /> PANEL MANUFACTURER: <br /> 190'9 MODEL#(S): 794380301 49o-10 <br /> LEAK SENSOR MANUFACTURER: Veedar-Root 490-11 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONTT UR SINGLE WALL TANK(S).(23 CCR§2(43) 4W13 <br /> 490-[2. MODEL#: <br /> PANEL MANUFACTURER: 490-15 <br /> 490-14' MODEL S: <br /> IN-TANK PROBE MANUFACTURER-* -39416 <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY M c.WEEKLY 490-17 <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-1& <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 <br /> -39-350 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-21 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49422 <br /> 490-D <br /> S.TANK INTEGRITY TESTING(z3 CcR§2643.1): 490-24 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 <br /> 4WM <br /> ❑ <br /> 99.OTHER (Specify): 49x27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 49426 <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINM1IENT WTCH AUDIBLE AND <br /> VISUAL ALARMS. (23 CCR§2636) 49x-29 <br /> SECONDARY CONTAINMENT IS:Ma.DRY Mb.LIQUID FILLED 0c.PRESSURIZED Md.UNDER VACUUM 490-31 <br /> Veeder-Root 490-30 MODEL#: TLS-350R <br /> PANEL MANUFACTURER: 49x33 <br /> Veeder-Root 49032 MODEL#(S): 79436o-352,79M0-=(91 FIX).794390aM <br /> LEAK SENSOR MANUFACTURER ---- 49034 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. E a.YES ❑b.NO 49435 <br /> FAB.UREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a.YES ❑b.NO <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR(NII,LD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2 49436 <br /> MLLD MANUFACTURER(S): 49037 MODEL#(S): <br /> Q 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 49439 <br /> 49e40. MODEL#(S): PLLD 49041 <br /> ELLD MANUFACTURER(S) Veeder-Root <br /> -39045 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. <br /> ago<3 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a.YES ❑b.NO 49 3 <br /> ELLD FAH.UREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. (g a.YES ❑b.NO <br /> 4.PH'E INTEGRITY TESTING 49 s <br /> TEST FREQUENCY M a.ANNUALLY M b.EVERY 3 YEARS El c.OTHERS cif 4904449447 <br /> 49446 <br /> ❑ 5.VISUALFREQUE PIPE MO NITORING. {90'69 <br /> FREQUENCY [I a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERAT®" <br /> *Auow4a rm.oal or�ra�R. mce.mr roa ow HSC Z281. 3 <br /> M 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 49451 49452 <br /> ❑ 99.OTHER(Specify) 49453 <br />