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TMrc Tram -n ft 2nnnn 4 i4 <br />IED PROGRAM CONSOLIDATED FORE <br />' UNDERGROUNDSTORAGETANK <br />MONITORING PLAN - Pae 1 of 2) <br />TYPE OF ACTION ❑ 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />490'1 <br />PLAN TYPE ® 1. MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. <br />490-2 <br />(Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- <br />L FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) I 1 1-1-I I I <br />II <br />BUSINESS NAME (Same as FACILITY NAME) Safeway Fuel Station 2707-10 <br />3' <br />BUSINESS SITE ADDRESS 6425 Pacific Ave. 103. <br />CITY Stockton <br />104. <br />IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br />Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency <br />specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. <br />23 CCA §2632,2634, 2638, 2641 <br />MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99. OTHER (Specify): <br />4990.76 <br />M. MONITORING LOCATIONS <br />❑ 1. NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. X 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, <br />2634)4904 <br />IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br />1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT <br />49x5 <br />VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) <br />SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM <br />6900- <br />PANEL MANUFACTURER: Veeder Root TLS-35OR 490J' MODEL#: 848290-012 <br />4905 <br />LEAK SENSOR MANUFACTURER Veeder Root 490.9' MODEL#: 794390-060 <br />490-10 <br />❑ 2. AUTOMATIC TAMC GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) <br />490-11 <br />PANEL MANUFACTURER: 0-90-12. MODEL#: <br />490-13 <br />IN-TANK PROBE MANUFACTURER: 49 IC MODEL#(S: <br />490.15 <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />490-15 <br />❑ d. MONTHLY ❑ e. OTHER (Specify): <br />490-17 <br />PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 &P.h. ❑ c. OTHER (Specify): <br />490- 8 <br />490.19 <br />❑ 3. MONTHLY STATISTICAL INVENTORYRECONCILIATION (23 CCR §2646.1): <br />490-20 <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645} TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS <br />49031 <br />4903'1 <br />El 5. TANK INTEGRITY TESTING (23 CCR §2643.1): <br />490-23 <br />FRE UEN: ❑ a. ANNUALLY A[Ib. BIENNIALLY ❑ c. OTSi <br />TEST CY HER wfy): <br />Q ( p <br />490-24 <br />490-25 <br />❑ 99. OTHER (Specify): <br />490-26 <br />49x27 <br />V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check an that apply) <br />1. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND <br />490-28 <br />VISUAL ALARMS. (23 CCR §2636) <br />SECONDARY CONTAINMENT IS: Ms. DRY ❑b. LIQUID FILLED []c.PRESSURIZED ❑d. UNDER VACUUM <br />490'20 <br />PANELMANUFACTURER Veeder Root TLS-360 49°3°MODEL#:848290-012 <br />490-31 <br />LEAK SENSOR MANUFACTURER: Veeder Root 490.32 <br />MODEL#: 794380-208 <br />490-33 <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑'b. NO <br />490-M <br />FAE URE/DISCONNBCTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®L YES ❑ b. NO <br />490-35 <br />Ll 2. MECHANICAL LINE LEAK DETECTOR (MILD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br />PRODUCT FLOW WHEN A LEAK IS DETECTED C23 CCR 763 <br />490-36 <br />MLLD MANUFACTURER(S): 490-3 MODEL #(S): <br />490-38 <br />® 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) <br />490-39 <br />ELLD MANUFACTURER(S) Veeder Root 49010. MODEL #(S): 848480.001 <br />490-41 <br />PROGRAMMED IN LINE LEAK TEST: ® 1. MINIMUM MONTHLY 0.2 g.p.h. ® 2. MINIMUM ANNUAL 0.1 g.p.h. <br />49012 <br />ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. X a. YES ❑ b. NO <br />690'03 <br />ELLD FAILUREMISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. X L YES ❑ b. NO <br />49014 <br />4. PIPE INTEGRITY TESTING 490-45 <br />TEST FRE UENCY ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 490-4649017 <br />Ll S. VISUAL PIPE MONITORING. <br />49x48 <br />FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- <br />49049 <br />•AIIow for mnitalina ofmbmied eneraar&el pipfila only PSC 025281.5(b)(3 <br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA [23 CCR§2636(a)(3)]. <br />49x50 <br />7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br />490-51 <br />❑ 99. OTHER (Specify) <br />490-52 <br />490-53 <br />TMrc Tram -n ft 2nnnn 4 i4 <br />