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IFIED PROGRAM CONSOLIDATED FORM ---UNDERGROUND-STORAGETANK MONITORING PLAN-(Pae t of 2) T PEOFACTI N ❑ T.NEW PLAN ® 2.CHANGE OF INFORMATION J111'1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL UST's ATTHIS FACILITY. Peck one item only) ' ❑ 2.THIS COVIsR50NLY'144TH FOLLOWING US'f SYSTEM(G• i 1. FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME)TSI Trans-System, Inc. BUSINESS SITE ADDRESS 707 E. Roth Rd. "" CITY French Camp 1fq. H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Tasting,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,Mine Ink detectors,etc.) must be performed at the frequency I specified by the quipment manu facmrers'instructions,or annually,whichever is more frequent,and that such work must he performed by qualified personnel. (23 CCR§2632.L63A,2638,2641) .J W L)n MONITORINC EQUIPMENT IS SERVICED 0 I.ANNUALLY ❑ 99.OTHER(Specify): 4xl.a„ III.MONITORING LOCATIONS 1.NEW SIT E PLOP PLAN/MAII SUBMITTED WITH THIS PLAN. 0 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 261 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS) ® 1.-CONTIN JOBS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT •"114i VAULT(;)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SEC NDARY CONTAINMENT IS: 10 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM PANI LMANUFACTURER Vel:dernat 490-7• MODEL#: TLS300C am%n LEAK SENSOR MANUFACTURER: Veedenml 4111'0' MODEL#(S): 794390407 [12.AUTOM TIC TANIC GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL'TANK(S).(23 CCR§2643) PAN LMANUFACTURER: '1°°'1' MODEL#: 4ob'1' _ IN=1' NK_P_ROBE MANUP491ACI'URER: _ MODEL#(S); -0Hbl: LEAP 'FEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY i ❑ d.MONTHLY _ ❑ e.O'T'HER(Specify): _ 4vn-Ir PRO RAMMED TEST'S: ❑ a.0.1 g.p.h. ` ❑ It.0.2 g.p.h. ❑ c.OTHER(Specify): 491410 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): '0N1`0 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS [I It.60 1]OURS 4'n-21 5.TANK 114TEGRITY TESTING(23 CCR§211 4i"'=' 'PEST FR AUENCY: ❑ a.ANNUALLY ❑ I.BIENNIALLY ❑ c OTHERS(Specify): 4 NF24 { P Y) 4-N�2_: ❑99.OTHER (Specify): 499114911_7 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS) (Check all that apply) ®I.CONTIN JOBS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WI'I'II AUDIBLE AND VISUAL ALAI MS. (23 CCR§2636) SECONDARY CONTAINMENTIS:®o.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 49G.211 PANEL NUFACPURER:Vccderunt MODEL#: TLS300C 4141-31 LEAK SENSOR MANUFACTURER: Vacdemot 49�F12 MODEL#(S): 794390208______ PIPING LE K ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b. NO FAILURL' ISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®it.YES ❑b.NO 990'1° 2.MECHA 41CAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PROUD T FLOW WHEN A LEAK IS DEFECTED(23 CC_R§2636) 41NI.u, j MLL MANUFACI'URER(S): rwa7 MODI--L#(S): VMILD-2000 ❑ 3.ELECT ONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) Imral ELLD M NOFAC4-41.40.I'URER(Sj MODLL#(Sj: OGR MMED IN LINE LEAKTEST: ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUALO.I g.p.h. 4'n.4' PR ELLD D fECI'ION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO J90.41 ELLD F ILURE/DISCONNECI-ION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑it.YES ❑b.NO 41N'.44 ® 4.PIPE INTEGRITY TESTING 41NH9 I TESTFR AUENCY ❑ a.ANNUALLY ® b.EVERY3YEAR5 c.OTP1ER 5 ecif 41NNh 41XW ® 5.VISUAL PIPE MONITORING. 4004H varQUI NCY ❑ a.DAILY ❑ It.WEEKLY ®c.MIN.MONTHLY&EACH TIME SYSTEM oprRATED• 4nn.4o 6Allnwedhr.1.1 ofunhuried rniurucmy gglvi fuel pipine only Nr ASC 425281.5(h)(3) ❑ 6.SUCTIC 4 PIPING MEETS EXEMII'TION CRITERIA 123 CCR§2636(0)(3)]. 4m45n 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO TIRE TANK SYSTEM 4-M-;i ❑ 99,OTHE (Specify) .11,111 ncrr n r 1nnnm u.x