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UNDERGROUND STORAGE TANK 41 MONITORING PLAN- PAGE 1 TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION Mol. PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mot. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agenev Use Only) BUSINESS NAME(Same as FACILITY NAME) shell&Mini Mart 136186 M03. BUSINESS SITE ADDRESS 3725 Tracy Boulevard M04_ CITY Tracy Me5. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)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. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY Moe. ❑ 99.OTHER(Specify) III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor,line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. _ IV. TANK MONITORING_ MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) M10. ® I.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ c.PRESSURIZEDMI1. ❑ d.VACUUM PANEL MANUFACTURER: Veeder Root M12. MODEL#: TLS-350R M13. LEAK SENSOR MANUFACTURER: Veeder Root M14. MODEL#(S):794380-301 MI5. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M16. MODEL#: M17. IN-TANK PROBE MANUFACTURER: Veeder Root MIR' MODEL#(S): 847390-109 M19. LEAK TEST FREQUENCY: ® a.CONTINUOUS ❑ b.DAILY/NIGHTLYM2o. ❑ c.WEEKLY El d.MONTHLY ❑ e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ® b.0.2 g.p.h. ❑ c.OTHER(Specify): M22 M23. ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Mea_ ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): Mev, M27. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires eq agency approval) ❑ 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) M30. ® I.CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.VACUUM M31. PANEL MANUFACTURER: Veeder Root M32. MODEL#: TLS-350R M33. LEAK SENSOR MANUFACTURER: Veeder Root _ M34. MODEL#(S): 794380-352 M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ® a.YES ❑ b.NO M3e. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a.YES ❑ b.NO M37. ❑ 2.M ECHANICAL 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 MLLD MANUFACTURER(s): M38. MODEL#(S): M39. ® 3.E LECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MANUFACTURER: Veeder Root Moo. MODEL#: 8484 M41. PROGRAMMED IN LINE TESTING: ® a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. N142. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? E a.YES ❑ b.NO N143. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a.YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ e.OTHER(Specify) MaS.May. ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. *Requires agency approval *'Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(6)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify) M48. hwfwre-d(9/24/04)-1/4