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10 '07/2010 THU 8: 52 FAX 2094683433 SJC EHD 0003/006 JNIFIEID PROGRAM CONSOLIDATED FOE UNDERGROUND STORAGE TANK _ MONITORING PLAN- P e 1 of 2 011. 490-1 TYPE OF ACTION ice'.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-2 PLAN TYPE yETI_MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- I: FACILITY INFORMATION FACILITY ID N(Agency Use Only) 3. BUSINESS NAME(Same as FACILITY NAME) BUSINESS SITE ADDRESS �CITY _:.. ... 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 annually,whichever is more frequent,and that such work must be perforated by qualified personnel. 23 CCR§2632,2634,2638,2641 490-30 MONITORING EQUIPMENT IS SERVICED J311.ANNUALLY ❑ 99-OTHER(Specify): 490.3b - M.MONITORING LOCATIONS 1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. D L SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)42".' :'.'.4 IV:TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODN: I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 490.5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (73 CCR 11632,2634) SECONDARY CONTAINMENT IS: Ela.DRY b.LIQUID FILLED ❑ c.PRESSURIZED El d.UNDER VACUUM °� PANEL MANUFACTURER: �^ �/�,� Roo; °90.7" I MODEL N: L S j sp 490-8 LEAK SENSOR MANUFACTURER: 2Pi ,/ Y 4900. MODEL N(S): 79 Z 490-10$S' 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL T NK(SL(23 CCR§2643) 490'11 PANEL MANUFACTURER: 49011. MODEL N: °9013 IN-TANK PROBE MANUFACTURER: 490.14 MODEL N(S): -- 49x15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490'16 [] d.MONTHLY Q e.OTHER(Spec!f')�_-- ---.-._----_----------------------------__._.--_-----•------•-- 490-16 PROGRAMMED TESTS. ❑ a.&I g.p.h. ❑ b.0.2 g.p.h_ ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION CZ3 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: [Ia.36 HOURS [3b.60 HOURS 4Wu 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 490-1A TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 490-26 [199,OTHER(Specify): __ 49027 V.PIPE MONITORING IS.PERFOIUWED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-25 VISUAL ALARMS..(13 CCR§26M) -29 SECONDARY CONTAINMENT IS: a.DRY [3b.LIQUID FILLED _❑a PRESSURIZED ❑d.UNDFR VACUUM _ - 490- PANEL MANUFACTURER: x" 490.3° MODEL M TLS S D 49031 31 3S� ._z�f LEAK SENSOR MANUFACTURER: �,/ vJ 490-32 MODEL H(S): 13 y - 490.33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e_,TURBINE)SHUTDOWN. 9a.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Ba.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 CCR 49036 MLLD MANUFACTURER(S): 490-37 MODEL S}: r)'g - qS'0 �O/ 49036 ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS (23 CCR§2636) 49039 ELLD MANUFACTURERS) vh/ A�CC) 41, MODEL N(S). -� 49041 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g_ph_ ❑ 2.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. a.YES ❑b_NO 49044 4.PIPE INTEGRITY TESTING 490.45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS i 490-46490-47 ❑ 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a DAILY ❑ b.WEEKLY ❑c.MRN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.49 •Nlo++edfor mad ofunbwicd Cud ip HSC 2525(. 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(ax3)1. 490-50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 490•S2 ❑ 99.OTHER(Specify) 49053 rtr�R ttRT.11 tt2/2007t 1/4