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-TNIFIED PROGRAM CONSOLIDATED FOR? �../ UNDERGROUND STORAGE TANK E� MONITORING PLAN- P REC e 1 of 2) a ,Cly TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION APR 2 7 2012 490.1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) [112.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): -1 A - w ' 1. FACELITY INFORMATION FACILITY ID#(Agency Use Only) 1 BUSINESS NAME(Same as FACILITY NAME)COSTCO WHOLESALE GAS STATION#658 Fi 2012 3 BUSINESS SITE ADDRESS 3250 W GRANT LINE ROAD 103 crry TRACY 104 IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE 11iI MENTAL, Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors, probes, line leak detectors,etc.)must be perforific6d Wff9-ft4k4W 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 ® 1.ANNUALLY ❑ 99.OTHER(Specify): 49.3. 490-3b III. MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2,SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4W' IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 YAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§202,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 496 PANEL MANUFACTURER: VEEDER ROOT _ 490'' MODEL#: TLS-350 490.8 LEAK SENSOR MANUFACTURER: VEEDER ROOT 41 MODEL#(S): 794380-301 490-10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S),(23 CCR§2643) 490-13 PANEL MANUFACTURER: 49.12. MODEL#: 490-13 IN-TANK PROBE MANUFACTURER: 49x14- MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAB Y/NIGHTLY ❑ c.WEEKLY 49.16 ❑ it.MONTHLY ❑ e.OTHER(Specify): 49.17 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-1e 490-t9 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 490-22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-3° x9.25 ❑99.OTHER (Specify): 49.26 49.27 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:On.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER:VEEDER ROOT 490-30 MODEL* TLS-350 49.31 LEAK SENSOR MANUFACTURER: VEEDER ROOT 490-32 MODEL#(S): 794380-352; 490-33 793380-208 91 FILL) PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 49.35 El 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 CM CCR 12636) 49.36 MLLD MANUFACTURER(S): 490,37 MODEL#(S): 490.38 ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLD MANUFACTURERS)VEEDER ROOT 490.40. MODEL#(S): PLLD 49 11 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 49043 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 &YES ❑b.NO 49.44 4.PIPE INTEGRITY TESTING 49045 TEST FRE UENCY ❑ &ANNUALLY ❑ b.EVERY3 YEARS ❑ c.OTHER(Specify) 49°-4649°47 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY. ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- - 49049 •"0-9 formonbo,in ofimb,vied em ,um fuel pipi.R.Wy pn HSC 25281.5 b 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)1. 49.50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49.51 ❑ 99.OTHER(Specify) 490-52 490-53 Belshire Environmental Services,Inc.