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UNIFIED PROGRAM CONSOLIDATED FORM F� UNDERGROUND STORAGE TANK MONITORING PLAN -(Page 1 of 2) 490-I. TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Onl)) 1 BUSINESS NAME(SanreasFacility lVameorDBA) CRUISERS MANTECA - BP# 29 3. BUSINESS SITE ADDRESS 103• CITY MANTECA, CA. I°' 1137 W. LATHROP RD. 95336 II. 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 bthe eyui mp ent manufacturers'instructions,or annually whichever is more frequent.Such work must be performed by qualified personnel.(23 CCR§2632,2634,2638,26411 490.38 MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY [1 99,99,OTHER(Specify):( p a9oab. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN [12.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR 12632,2634) 490.4, IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Ch 0.k 1 that 1,CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,2634] SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 190.6. PANEL MANUFACTURER: VEEDER ROOT 49"- MODEL#: TLS-350 490-8. LEAK SENSOR MANUFACTURER: VEEDER ROOT 490-9. MODEL#(S)_ 420 490-10. -T_72.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR 126431 490-11. PANEL MANUFACTURER: 490.12. MODEL#: 490.13. 490.15. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490.16. ❑ d,MONTHLY ❑ e,OTHER(Specify): 490.17. 490-1s. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b,0.2 g.p.h. ^❑ c.OTHER(Specify): 490.19. ❑_ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 49x20' �❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§26451 TESTING PERIOD: 490.22. ❑ a.36 HOURS [Ib.60 HOURS 490-23. 490.23. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490.24. _ TEST FREQUENCY: ❑ a.ANNUALLY _ ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25. 490-26. ❑ 99.OTHER(Specify): 490.27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thatack 111 ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490.28. [23 CCR SECONDARY CONTAINMENT IS: ❑ a.DRY [Ib.LIQUID FILLED ❑ c.PRESSURIZED [Id.UNDER VACUUM 190.29. §2636] 490.70. 490.31. PANEL MANUFACTURER:VEEDER ROOT MODEL#: TLS-350 LEAK SENSOR MANUFACTURER; VEEDER ROOT 490-32. MODEL#(S): 208 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑ a,YES ❑ b.NO 490.34. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-35. y[] 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490.36. PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§26361 0.90-37. MODEL#(S): a9o•3a. MLLD MANUFACTURER(S): _ _ ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3,0 g.p.h.LEAK TESTS.(23 CCR§26361 490.39. ELLD MANUFACTURER(S):VEDER ROOT 4140. MODEL#(S): RED JACKET 49041. PROGRAMMED IN LINE LEAK TEST; ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.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. [I a.YES El b.No 49044 4.PIPE INTEGRITY . _ TESTING. .__--._.__ - - 49045. ❑ 49046. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) _490.47. _ 490.48. ❑ 5.VISUAL PIPE MONITORING, FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49049. _ _ •Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(b)(3) [J-6-.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)] ago-so. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. _- 490.51. '- 490.52. ~❑ 99.OTHER(Specify) 490-53. UPCF UST-D(12/2007)-1/5 www.unidoes.org