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vIFIED PROGRAM CONSOLIDATED F UNDERGROUND STORAGE TANK MONITORING PLAN - (Pae 1 of 2) TYPE OF ACTION ❑ 1,NEW PLAN ® 2,CHANGE OF INFORMATION 490-1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-1 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 BUSINESS NAME(Same as Facility Name or DBA) 3 CRUISERS MANTECA # 29 BUSINESS SITE ADDRESS 103 CITY MANTECA, CA, '°°' 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 by the equipment manufacturers'instructions,or annual)y, whichever is more frequent.Such Nvork must be performed by qualified personnel.[23 CCR§2632,2634,2638,26411 MONITORING EQUIPMENT IS SERVICED ® L ANNUALLY [:1 99.99.OT14ER S 490-3a. Q ( P •7)� 490-1b. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "heack all that1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.(23 CCR§2632,26341 SECONDARY CONTAINMENT IS: N a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ® d.UNDER VACUUM 490-6. PANEL MANUFACTURER: VEEDER ROOT 490-1. MODEL#: TLS-350 490-8. LEAK SENSOR MANUFACTURER: VEEDER ROOT 490"9' MODEL#(S): 420 490-10. '=-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.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a,0.1 h. __❑ b.0.2 490-18. g.p.h. g.p.h. ❑ c.OTHER(Specify): 490.19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[z3 CCR 42646.11 490-20 [34.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS El b.60 HOURS 494 -Ti ❑ 5.TANK INTEGRITY TESTING PER 123 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY_ ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49°24. Q �a90-zs. ❑ 99.OTHER(Specify): _ -27. - 490-27. he V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (C tap ll) ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-18. (226 6] SECONDARY CONTAINMENT IS: Ela.DRY ❑ b.LIQUID FILLED El c.PRESSURIZED 29 d.UNDER VACUUM 490-29. PANEL MANUFACTURER:VEEDER ROOT 490-30. MODEL#: TLS-350 490-31. 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 491-34. 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 490-36. PRODUCT FLOW WHEN A LEAK IS DETECTED.(23 CCR§26361 MLLD_MANUFACTURER(S): 490-37. MODEL#(S): 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):VEEDER ROOT 490-40. MODEL#(S): 0848480-001 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 410.43. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44' ❑ 4.PIPE INTEGRITY TESTING. 490-45. _ FREQUENCY: _ ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(S eci 490-46. TEST FRE Q P fY) _ 490.47.__ ❑ 5.VISUAL PIPE MONITORING. 490-48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. ,^ •Allowed for monitoring of unburied emergency generator fuel piping onlZper ECSC 2528 I_5i�� -� ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(-)(3)) 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)-1/5 www.unidoes.org