BILLING PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN - Pae I of 2) TYPE OF ACTION ® 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION 490-1 PLAN TYPE ® I. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 49012 (Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM($): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) _ _ I BUSINESS NAME (Same as FACILITY NAME) 7 -Eleven #19976 3. BUSINESS SITE ADDRESS 1399 North Main Street 03_ CITY Manteca 104. H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency 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.OTHERS ci Q ® ❑ (Pe fY)� 490-3b ago -3b III. MONITORING LOCATIONS 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 0 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)4904 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 VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: ❑ a. DRY ® b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6 PANEL MANUFACTURER: Veeder Root 490-7 MODEL #: TLS350 490-8 LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL #(S): 302 490-10 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL #: 490-13 IN -TANK PROBE MANUFACTURER: 490-14, MODEL #(S): 490-15 LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILYINIGHTLY ❑ c. WEEKLY 49°-16 ❑ d. MONTHLY ❑ e. OTHER (Specify): - --�-- 490-17 - PROGRAMMED TESTS: ❑ a. 0.1 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): 490-18 490-19 ❑ 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 4990-2z 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490-23 FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHERS if TEST FRE Q (Specify): 490-2 490-25 C]99. OTHER (Specify): 490-27 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 490-28 VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: ®a. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM 490-29 PANEL MANUFACTURER: Veeder Root 490-3° MODEL #: TLS350 490-31 LEAK SENSOR MANUFACTURER: Veeder Root 412 1 MODEL #(S): 208 490-33 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 490-35 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 (23 CCR §2636) 490-36 _ _ MLLD MANUFACTURER(S): Vaporless (87) FE Petro (91) 490-37 MODEL #(S): LD2000 (87) STP -MLD (91) 490-38 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 490-39 ELLD MANUFACTURER(S) 490101 MODEL #(S): 490-41 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 ' 7_:l 49043 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES C1 b. NO 4)0-44 4. PIPE INTEGRITY TESTING 49045 TEST FREQUENCY ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHERS cif'_".. 9046490-47 5. VISUAL PIPE MONITORING. '` 49048 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- ; 490-49 " Allowed for monitoring of unburied emer encu generator fuel piping only HSC 25281.5 6 3 '-- ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR §2636(a)(3)1. 490-50 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99. OTHER (Specify) 490-52 490-53 UPCF UST -D (12/2007) 1/4