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i. c► jNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Page I of 2) TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION MAY 17 2011490-1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 491 z (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMO I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) Arco Manteca 3. BUSINESS SITE ADDRESS 1711 E.Yosemite Ave 103, CITY Manteca 104. U.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§2632,263412638,2641)------_- ---!___---- --------------_- -- ___--- -__---- MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY [199.OTHER(Specify): 4W3b M.MONITORING LOCATIONS ®1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 112.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490.0- 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 4111. MODEL#: TLS-350 48 --------------------------------_-----------___-_-__ -----------_-------------- LEAK SENSOR MANUFACTURER: Veeder Root 490'9 MODEL#(S): 794390-409 ago-lo 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCK§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13 IN-TANK PROBE MANUFACTURER: 495-14 MODEL 490-15 ----------------------------------- ---- ------------------------ - ------------ ------ LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 495-16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 495-17 - ----------------------------------- ---------------------------------- PROGRAMMED TESTS: ❑ a.0.l h. ❑ b.0.2 h. ❑ c.OTHER(Specify): 495-19 g•p• g•P• fY) 0-91-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-25 El 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: E] a.36HOURS El b.60 HOURS a90-22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: [Ia.ANNUALLY C] b.BIENNIALLY E] c.OTHER(Specify): 4900-25 ®99.OTHER (Specify): mplicity 490-26 Si 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 495-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 495-29 --------- ------------------ ------ ------------ - - ------------------------------------------- PANEL MANUFACTURER: Veeder Root 490.31 MODEL#: TLS-350 490.31 - ----490-32490.37 LEAK SENSOR MANUFACTURER: Veeder Root--_ -- ---__ _ MODEL#(S):- 794380-208 ------------------------------ - - ------------------ 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 CCR2636 -_- 491-36 MLLD MANUFACTURER(S):Regular-FE PETRO/Plus and Premium-VAPORLESS ago 37 MODEL#(S):Regular STP-MLD 490 3B Plus and Premium-LD2000 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) -495-39 -------------------- ----- - ------------------- - -- ----- - ELLD MANUFACTURERS 490.40• MODEL#(S): 49x41 ( ) --- -- - T- -- -- --- - PROGRAMMED IN LINE LEAK TEST: El1.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.YF.S ❑b.NO 490-43 ELLD FAILUREMISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 495x4 ❑ 4.PIPE INTEGRITY TESTING 490-45 TEST FRE UENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490.4649047 5.VISUAL PIPE MONITORING. 490.49 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MM.MONTHLY&EACH TIME SYSTEM OPERATED• 490.49 •Allowed for nioniloring orunburied emergency enenlor fuel piping only per HSC§25291.5 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(x)(3)1. 49°-50 El 7. 140 REGULATED PIPING PER HEALTH AND SAFETY CODE,DMSION 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