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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - Pae 1 of 2 <br /> TYPE OF ACTION ❑ 1.NEW PLAN X 2.CHANGE OF INFORMATION <br /> PLAN TYPE X 1.MONITORING IS IDENTICAL FOR ALL USTS AT THISFACILITY. 44141 <br /> (Check ane item only) ❑ 2.THOS PLAN COVERS ONLY E FOLLOWING UST SYSTEM(S): 490.2 <br /> TH <br /> FACILITY ID a(Agency Use Only) I• FACILITY INTORMATION <br /> BUSINESS NAME(Same as Fact(iy Name wOBA) <br /> USA/Tesoro 68154 <br /> BUSINESS SITE ADDRESS <br /> 2.500 W. Lodi Ave. CITY <br /> II. EQUIPMENT TESTING AND PREVENTIVE Lodi <br /> Testing prevennve mamtenence and calibration of moni[onn by- a u. ment e. nes, MAINTENANCE <br /> [he equipment manufacturers'instruciions orannually, -h ghe_v_e_r_is more fire uenL Such work 641 detectors <br /> erforrned be)ual Ted personnel d at the 4fie tzea 'u4iL <br /> LU _.._.____. q P frequency specified <br /> MONITORING EQUIPMENT IS SERVICED - -- --y q - _ ___ _ <br /> _. __ Pe <br /> X 1.ANNUALLY Cl 99,OTHER(Specify): <br /> -490.,4 <br /> III. MONITORING LOCATIQNS 49 31, <br /> ❑ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN X 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED <br /> IV. TANK MONITORING IS PERFORMED USING n cc 5=4,x,xm41 <br /> X I.COMINUOUS ELECTRONIC TANK'MONITORING ANNULAR(fNTERSTITIAL)SPARC OOLCpp D4ENTHOD(S)(S(Che 4k9as' <br /> WITH AUDIBLE AND VISUAL ALARMS.iv CCR§2632.x4551 Uvula <br /> SECONDARY CONTAINMENT IS. X 0 DRY ❑ b.LIQUID FILLED <br /> PANEL MANUFACTURER: Veeder Root ❑ PRESSURIZED [Id.UNDER VACUUM °90-8 <br /> LEAK SENSOR MANUFACRIRER: Veeder Root 40.9 MODEL N: TLS350 490"41. <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGI a,ve r r MODEL a(S): 794390-420 49ajo <br /> PANEL MANUFACTURER: TANKlcI,Iv CCR 42401 <br /> 490-¢. s90.H. <br /> IN-TANK PROBE MANUFACTURER: MODEL N: 490.1,. <br /> 490-i4. <br /> LEAK TEST FREQUENCY: ❑ a CONTINUOUS MODEL N(S): 490''5 <br /> ❑ b.O HER RIGHTLY ❑ c,WEEKLY 44-16. <br /> ❑ d MONTHLY <br /> _ PROGRAMMED TESTS_ ❑ e.OTHER(Specify): 4WI7, <br /> ❑ 3.MONTHLY STATISTICAL INV a 0.1 ggh.__ ❑�h.0.2 p,h -,..❑ c OTHER(Specify): 49au. <br /> __ _ ENTORY RECONCBdATION Iv ccn Sxuail 490.19. <br /> -_❑__4.WEEKLY MANUAL TANK GAUGING(INTO)Iv ccn;w4sl ---_ -" -- _ 49°-1°. <br /> _ -.-___ <br /> -' TESTING PERIOD: <br /> ❑ 5.TANK INTEGRITY TESTING PER Iv Ccn gze4n.11 ❑ a - HOURS ❑ b.60 HOURS . T90-n:" <br /> ._ __.__._._.__ 4so.zx. <br /> __.___.-.__.._ <br /> TEST FREQUENCY- ❑ t ANNUALLY wan <br /> - -___,_--❑ b.BRiNNIALI_Y C.OTHER <br /> ❑ 99.OTHER(Specify): ..__. ____(Specify):: 49CI:25 . <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS 497 x6. <br /> 90.=, <br /> X L CONTINUOUS MONITORING OF PIPE/PIPING SU \ (Checka" <br /> MP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS <br /> 9zisj SECONDARY CONTAINMENT IS: X &DRY 41)0-2325. <br /> ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490.=9 <br /> PANEL MANUFACTURER:Veeder Root 49o-30 <br /> LEAK SENSOR MANUFACTURER; Veedef Root MODEL a: TLS350 49a,i. <br /> 490'x <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e. MODEL#S): 794380-208,TURBINES 490.9. <br /> FAILURE/DISCONNECTION OF THE MOMTORING SYSTEM TRIGGERS UTDO AT[C PUMP SHUTDOWN, X a YES ❑ b.NO 4�34� <br /> X 2. MECHANICAL LINE LEAK DETECTOR(MELD)TFTAT ROUTINELY PERFORMS 3.0 h. LEAK TESTS AND RESTRICTS OR SHUT--SOP 4ys. <br /> PRODUCT FLOW WHEN A LEAK!S DETECTED.Iv ccxgzsxel BD <br /> -_.._ MELD MANUFACTURER(S):Red Jacket 490.,, <br /> MODEL a(s): 116-056-5 116-058-5 <br /> ❑ 3.ELECTROMC LINE LEAK DETECTOR(FLED)THAT ROUTINELY PERFORMS 3.0 490-54 <br /> ELLD MANUFACTURER(SJ: S.p.h.LEAK TESTS(v CCRg263e1 -i9e=s9, <br /> 49640 MODEL N(S): 49 1 <br /> PROGRAMMED IN LINE LEAK TEST: <br /> ELLD DETECTION OFA PIPING LEAK TRIGGERS AtOOMATIC PUMP SHMUTDOWN,B P h ❑ b % M ANNUAL 0.1 h. 4° 11 <br /> 8P <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑ °'YES ❑ b.NO 490'43 <br /> --- _LURE______. <br /> ❑ 4.PIPE INTEGRITY TESTING. __-'-_---_..___________.______.__ ❑.&YES ❑ b.NO 490'44_ <br /> _TEST FREQUENCY:__ _❑ a.ANNUALLY 49°.45. <br /> ❑ S.VISUAL PIPE MONITORING. 0 b.EVERY 3 YEARS_Q c.OTHER(Specify) 490.44. <br /> 49041,. <br /> FREQUENCY: ❑ a.DAILY 490.42. <br /> ❑ b.WEEKLY ❑ c.MIN.MONTHLY R EACH TIME SYSTEM OPERATED- 49089. <br /> __"•,Ub�wef noniron <br /> ___ ng_yunEurieC_enw®rcy"q�rnrorfiwiyi'n wJ HSC 3L ] <br /> 6 SUCTK)N PIPING MEETS EXEMPTION CRITERIA,(v CCR 4zasryax,p -- P-a-.. S_5Ls)(]____ <br /> -_.. -_---- 49450. <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY COE,DIVISION 20, <br /> CHATR6.7(S CONNECED10❑ 99.OTHER(S ify) TANKSYSTEM. a9o-sr. <br /> 4945x. <br /> 49o-s. <br /> UPCF UST-D(12/2007).fig <br /> www,midoc41.org <br />