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AlftJIFIED PROGRAM CONSOLIDATED FOR1Y UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION ❑ 1. NEW PLAN ® 2. CHANGE OF INFORMATION 490-1 PLAN TYPE ® 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 Teck one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( - I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME) Yosemite 76 #255417 7 BUSINESS SITE ADDRESS 1700 East Yosemite Avenue lol. CITY Manteca 104. III 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, 2634, 2638, 2641 MONITORING EQUIPMENT IS SERVICED ® L ANNUALLY ❑ 99. OTHER (Specify): 490_3b III. MONITORING LOCATIONS N 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 1:12. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)4904 IV. TANK MONITORING IS PERFORMED USING THE,FOLLOWING METHOD(S): ® L 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 ❑ Elb. LIQUID FILLED c. PRESSURIZED E] d. UNDER VACUUM - --- -- - 49° 6 -8 -----------_ -- - -- - - - --- - -- -- - - -- - --- _ __ _ - 47 1 MODEL #: TLS -350 Veeder Root MANUFACTURER_---- 48 - -PANEL _ - - _ LEAK SENSOR MANUFACTURER: Veeder Root 490-9' , MODEL #(S): 794380-420 490.10 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL #: ----------___-- 490-17 _-- - - --------------------------------------- - - -_ --- --- - --_ - -- - - -- - - ___ IN -TANK PROBE MANUFACTURER: 490-14. MODEL #(S): -------------------------------- 490. F5 --- - - - _-- - - - - - - - ----- ----- ------ ---------- -------------------------------------- - - - --- -- - LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16 ❑ d. MONTHLY ❑ e. OTHER (Specify): P _ 490-17 PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHERS eci g.p.h. g.p.h. (Specify): 490-18 490-19 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490-20 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 490.21 490-22 ❑ 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490-27 490-24 TEST FREQUENCY: Ela. ANNUALLY ❑ b. BIENNIALLY Elc. OTHER(Specify): P fY): 490-25 490-26 ❑ 99. OTHER (Specify): 490-27 V. PIPE MONITORING IS PERFORMED.USING THE FOLLOWING METHOD(S) (Check all that apply) 01. CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-2e VISUAL ALARMS. (23 CCR §2636) 49429 SECONDARY CONTAINMENT IS: Na. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM ---'--"------------ - - - -_ --------------490.30-T----- ----------- --- -- -- --------- ------------- - - -- ---- --- -- - - - - - PANEL MANUFACTURER: Veeder Root I MODEL #_TLS_350_ _ . __- _ PANEL 490-71 •--- ------ 490-32 ' LEAK SENSOR MANUFACTURER: Veeder Root (MODEL #(S): 794380-208 490-77 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. N a. YES ❑ b. NO 490 34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a. YES ❑ b. NO 490-7s N 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 DETECTEDA23 CCR 12636)_____ 490-76 MLLD MANUFACTURER(S): Va orless 490.77 MODEL #(s): LD2000 49x78 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) ---------- - ------ -- --- - - - - - - 490-79 - - - ---- - - - - -------- -- - --- - - ---- ---.---- _ - ELLD MANUFACTURER(S) 490-4°. i MODEL #(S): ------ ---- -------------'--- 490.41 -------------------____-_------ ------------- ----------------------------------------------- --------------i--`------------------------------------- PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2g•p• h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h.49° 42 490-47 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. [Ia. YES Elb. NO ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES El b. NO 490 ❑ 4. PIPE INTEGRITY TESTING 49045 TEST FREQUENCY ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 49046490-47 5. VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- 490-49 Allowed for monitoring of unburied emergency enerator fuel piping only per HSC §25281.5(6)(3 6. SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR §2636(a)(3)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 -99. 490-52 Fol OTHER (Specify) 490-57 UPCF UST -D (12/2007)