Laserfiche WebLink
FLED PROGRAM CONSOLIDATE i <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- Pae 1 of 2 p <br /> TYPE OF ACTION 0 L NEW PLAN ❑ 2.CHANGE OF INFORMATION. 440.1. <br /> �wl PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 490-2. <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 5 EP O 8 2009 <br /> I. FACILITY`INFORMATION ENVIRON EN H <br /> FACILITY ID#(Agency Use Only) <br /> t. <br /> BUSINESS NAME(Same as Facility Name or DBA) 3 <br /> Marigold Shell <br /> BUSINESS SITE ADDRESS 103 CITY <br /> 6131 Pacific Avenue Stockton 104 <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line teak detectors,etc.)must be performed at the frequency specified <br /> - <br /> by the equipment manufacturers'Instructions,or annually,whichever.-ismorefrequent Such workmustbe performed by qualifedpersonnel_(za ccR2632,1634, <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 690 30- <br /> 490-3b <br /> III. M-Gffli'O _IG LOCATIONS <br /> ❑ <br /> I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLANROAP PRFVIOUSLY SUBN4ITTED 123 CCR§263_,2634) 490,4 <br /> [V. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS; that <br /> ack`ll <br /> I.CONTINUOUS ELECTRONIC TANK MO RING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULTS) +90-s <br /> WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 I <br /> SECONDARY CONTAINMENT IS: ❑ e DRY ® b.LIQUID FILLED ❑ c.PRESSURIZED Q d.UNDER VACUUM 490'6 1 <br /> PANEL MANUFACTURER: Veeder Root Simplicity 490.7 MODEL#: TLS-360 490.8 F <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490.9. _MODEL#1(S): 302 9 ;?/v((/G 0-10 <br /> 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKfSj.[z�CCR§2643] z 1 <40-11. <br /> PANEL MANUFACTURER: 490.12MODEL#: ��3 g 7 ; �� a�13.AJ <br /> IN-TANK PROBE MANUFACTURER: 490 10- MODEL#(S): 490.15. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> �s ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 <br /> PROGRAMMED"TESTS: ❑ a.0.1 h. g,p.h. ❑ c.OTHER S eci 490.18 <br /> _._..------_.__.._..__._..._.._....._.......... _.__...........__._._......_._._..._..._g:P:.__.. ❑ b.0.2 ( P_._f'):_ 490.19. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] -49421" <br /> ❑ 4.WEEKLY MANTANK GAUGING(MIG)[23 ccR 12645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS <br /> UAL <br /> 440 21 <br /> _ <br /> 5.TANK INTEGRITY TESTING PER[z3 ccR <br /> §26431] 490-22. <br /> - 490.23. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(S cci <br /> __..____....__.......__.__._..............._.-..__._._......__.._....._._._..._..._._.._._-.__.___.....__..-..._..,..__.....-._.__.___.._-_-._......._. 490-24. <br /> ❑ 99.OTHER -.•--._.__P._.__...._...... 490.25 <br /> (Specify): <br /> -._.._J4Szd- <br /> ' <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thajakarr <br /> ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP($)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28 <br /> [23 CCR SECONDARY CONTAINMENT IS: ® a.DRY <br /> §2636] ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d,UNDER VACUUM 490'29. <br /> PANEL MANUFACTURER:Veeder Root Simplicity 490-X MODEL#: TLS-360 490-31. <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-32 14 #($): 352 490-33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490.34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-35 <br /> 2.MECHANICAL LIIJE LEAK DETECTOR (MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS�AND�I2ESTRICTS-OR SHUTS OFF 4411=36�- <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR;26361 <br /> MLLD MANUFACTURER( 490-37 <br /> .d. ___._._._..-._._._..__. . ... MODEL#(S): a4o-3s <br /> ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR12636] 490-39 <br /> ELLD MANUFACTURER(S):Veeder Root 490-40 MODEL#(S): PLLD 490-41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490.42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490'43. <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 490.44. <br /> ...__..._..___....._.._....._..__. ® a.YES ❑ b.NO <br /> ❑ 4,PIPE INTEGRITY TESTING. _ ...__...._..__.....__._.__........_......_^_.___._ 49045 <br /> _TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-56. <br /> .. .. p �) _ 49047. <br /> ❑ 5.VISUAL PIPE MONITORING._._._._-.._.__.__...-_......__....._...._._...._..._._...._........_...._.._.____._.._...._.......____-.....__..__...._._...__.---.__.. _-d9<is . <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TINS SYSTEM OPERATED• 49044. <br /> Allowed formoeitora ofu uriodem ncygeneratorfuelPjPlEMOPFi2528I:S�b)(3�...__-__. <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2636(.)(3)149050 <br /> __....-_............ <br /> _.__ <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490.51. <br /> ❑ 99.OTHER(Specify) <br /> ' a4b=�"z:• <br /> 490.53 <br /> UPCF UST-D(12/2007)-1/4 www.unidoes.org <br />