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UNIFIED PROGRAM CONSOLIDATED FORM i <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- Pae 1 of 2 <br /> TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 <br /> 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): jj =< • t ;;_ ., - <br /> L FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1 <br /> BUSINESS NAME(Same as FACILITY NAME)ARCO 02133 3. <br /> BUSINESSSITE ADDRESS 2908 BENJAMIN HOLT DR to Crrr STOCKTON 164• <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,e(cJ must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> X23 CC_R§263_2,2634,2638,264 1) --------- - _._._..... - -- -- - - ---- --- - - <br /> 490-3a <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b <br /> III,MONITORING LOCATIONS <br /> ®1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED, (23 CCR§2632, <br /> 2634 90-4 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49°-6 <br /> -------- --- -- - --- - - -- -- ----- - _•_... ---------------------------------------------- <br /> PANEL MANUFACTURER: VEEDER ROOT 490'7 MODEL#: TLS-350 49D-8 <br /> LEAK SENSOR MANUFACTURER VEEDER ROOT 0-90 v' 1 MODEL#(S): 794380-420 490-16 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490.11 <br /> PANEL MANUFACTURER: 490-12- MODEL#: 490-13 <br /> ----------- <br /> . ..............-----------------_... - - - ---------. <br /> PROBE MANUFACTURER: 490-14• MODEL#(S): 490-15 <br /> -------------------- - - -- ---------•--•------------------- <br /> LEAK TEST FREQUENCY: [I a.CONTINUOUS ❑ b.DAILYMIGHTLY ❑ c.WEEKLY 490-16 <br /> d_MONTHLY e.-TH--S cfY <br /> 490.17 <br /> --------------------------------------------------- ------------------------ - - - -- --- _ <br /> ....--••. <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 <br /> E] 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: E] a.36 HOURS [Ib,60 HOURS 490-21 <br /> 490-22 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 <br /> 490-25 <br /> C199.OTHER (Specify): 490-26 <br /> 0-90-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:Na.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> --------- --- -------------------------- - - -- --- ------ - -- -----__ - <br /> PANEL MANUFACTURER:VEEDER ROOT ------490-3° MODEL it: TLS-350_ - -- -A 490-31 <br /> LEAK SENSOR MANUFACTURER: VEEDER ROOT __- - _ _ MODEL-#(s): 794380-323 <br /> 490-3 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 490-34 <br /> FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-35 <br /> ® 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK I5 DETEC7 Eb�23 CCR§Z636) 49x36 <br /> MLLD MANUFACTURER(S):VAPORLESS(VMI)•PREMIUM TANK 490-37 MODEL#(s): LD2000(PREM.) 490.38 <br /> ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> ELLD MANUFACTURER(S)VEEDER ROOT 40' MODEL#(S): PLLD(8484) 490A1 <br /> ----------- --------------- - -----_--- - -----------------------•-- --- - -- - - --- - -- <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.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. ®a.YES ❑b.NO 490-44 <br /> 4.PIPE INTEGRITY TESTING 49o-45 <br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49D.46490-47 <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN,MONTHLY&EACH TfME SYSTEM OPERATED* 49049 <br /> 'Allowed for monitoring ofunburied e oc geaeMor fuel piping mly perHSC 25281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)j. 490.50 <br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> ❑ <br /> 99.OTHER(Specify) 490.52 <br /> 490.53 <br /> Arco 02133,Belshire Environmental Services 4 d� �` '` R <br />