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s <br /> 4 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE IANK <br /> MONITORING PLAN-(Pae I of 3 <br /> TYPE OF ACTION El1.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE ® 1 MONITORING IS IDENTICAL FOR Al 1,USTs AT THIS FACILITY 490-2. <br /> (Check one item only) ❑ 2 IHIS PLAN COVERS ONLY THE FOLLOWING USI SYSIEM(S): 490-2a <br /> i <br /> I fiz1cIL. ' ' IP4Ri 7C4N. . <br /> FACTI ITY ID#(Agency Use Only) 1 <br /> BUSINESS NAME(Same as Facility Name or DBA) ARCD 02093 3 <br /> t <br /> BUSINESS SITE ADDRESS 3425 TRACY BLVD 103 BUSINESS SITE CITY TRACY 104 <br /> ��ss <br /> _L` <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e g,sensors,probes,line leak detectors,etc)must be performed at the frequency specified <br /> by the c uipment manufacturers'instructions ori,whichever is more frequent,Such work must ba petfortnedlualified personnelccai6az_z634,261s,z64 <br /> EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER490.34 <br /> MONITORING E <br /> Q (Specify): 490-36. <br /> ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PIAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED (23 CCR§2632,26341 4904 <br /> I '�1 MONI I QRT PPuRFQ1IG`: FdI i , I�TG MT�IOII(S} ikrteck ) <br /> _. <br /> o 1 CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) <br /> 4945 <br /> WI IH AUDIBLE AND VISUAL ALARMS [23 CCR§2632 2634] <br /> SECONDARY CON TAINMENI IS: ® a DRY ❑ b LIQUID FILLED ❑ c PRESSURIZED ❑ d UNDER VACUUM 490'6 <br /> PANEL.MANUFACTURER: Veeder Root 490.7 MODEL#: TLS-350 490-9 <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490.9 MODEL#(s): 794390-407 -- 490-10 <br /> 0 2-AUTOMATIC TANK GAUGING(A'TG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) (23 CCR§26431 490 41 <br /> PANEL MANUFACIURER: 49012 MODEL#: 490-13 <br /> IN-TANK PROBEMANUTACTURER: 490-14 MODEL#(S): 490-15 <br /> LEAK TESI FREQUENCY: ❑ a CONTINUOUS ❑ b DAILY/NIGHILY ❑ c WEEKLY 490.16 <br /> ❑ d MONIHLY E] e OTHER(Specify): 490-17 <br /> 490-I8 <br /> PROGRAMMED IESIS: ❑ a 011 g p.hYb.01 g_pl, 0-0 c OTHER(Specify): 490-49 <br /> ❑ 3.MONTHLY STATISTICAL•INVENTORY RECONCILLIATION(23 CCR§2646.11 _ <br /> ❑ 4:WEEKLY MANUAL K GAUGING(MI'G 26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS490--22.4 <br /> __.............__.------. TANK [23 CCR§__...__.,._...___._..__ .....__._._._....-----.----__.._.__.__.-________.___...____-._____-._.__.._ <br /> ❑ 5 TANK INTEGRITY TESTING PER[23 CCR§264311 490-23 <br /> 490.24 <br /> TESI FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OIHER(Specify)): <br /> -- a9az6 <br /> ❑ <br /> 99.OTHER(Specify): ry490-27. <br /> PII' OG � FCI�T.LON METIO ( � l ckalJ <br /> ITT <br /> ...... ........_:::, ..... ..::. ._ S.. <br /> ... ., ..... .r .r.r..::...... ... .. app ..:: <br /> ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS q90 2B <br /> I"ccpj SECONDARY CONI AINMENI IS: ® a DRY Elb LIQUID FILLED ❑ c.PRESSURIZED Eld UNDER VACUUM 490-29 <br /> PANEL MANUFACTURER:Veeder Root 490.30 MODEL.#: TLS-350 490.31 <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-32 MODEL#(S): 794380-323 49D-33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i c,TURBINE)SHUTDOWN ® a YES ❑ b NO 4$0-34 <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM IRIGGERS AUTOMAIIC 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 490 36 <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED (23 CCR§26361 <br /> __ MLL.DMANUFAC I URER(S): 49°37 M_OD£1.#(S): e90•38 <br /> ® 3_ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3 0 g ph LEAK TESTS (23 CCR§2636) 490.39 <br /> ELLD MANUFACIURER(S):Vooder Root 490.40 MODEL#(S): PLL.D 490-41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a MINIMUM MONTHLY 0 2 g p h ❑ b MINIMUM ANNUAL 0 1 g ph 490-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMAI IC PUMP SHUTDOWN ® a YES ❑ b NO 490.43 <br /> ELLD FAILURE/DISCONNECIION IRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490.44 <br /> ____.......___.....___._._.__. <br /> 49045__ <br /> ❑ 4 PIPE INTEGRITY TESTING <br /> 490-46 <br /> _ TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-47. _ <br /> ❑ 5 VISUAL PIPE MONITORING _ 490-48 <br /> FREQUENCY: ❑ a DAILY ❑ b WEEKLY ❑ c MIN.MONTHLY&EACH IIME SYSIEM OPERAIED4 490 49 <br /> ~❑ 6 SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)1 490.50 <br /> _-.----------- <br /> ___._.___ <br /> ❑ 7.NO REGULAIED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE IANK SYSTEM. a9ast <br /> -....____._._.._..__._____,..........._..__...._..._....................__............._-.-__..___________--.-.__.._...._.-._.___.....__. ..._......_.._..___...____.__..___.._.___--_.___._-..__________.._.____.__.__._______._._.._..._._......._--..._..-...-490.52M <br /> ❑ <br /> 99.OTHER(Specify) 490-53. <br /> 6D3q 00 <br /> Arco 02093,Belshire Environmental Services Page 1 of 6 <br />