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FIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Page 1 of 2) <br /> TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490- <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): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1 <br /> BUSINESS NAME(Same as Facility Name or DBA) 3. <br /> Chevron Station#99840 <br /> BUSINESS SITE ADDRESS 103. CITY 104. <br /> 4344 Waterloo Rd. Stockton, ca 95215 <br /> II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <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 /> Pythe equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel_[23 CCR§2632.2634,.2638,2641] <br /> '...-----.. ...... ................._._......._............. ......................... .. .............................................. ........_.__............._...._... ---... <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY El99.OTHER S eci 490-3a. <br /> III. MONITORING LOCATIONS <br /> ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] <br /> 490-4. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that apply) <br /> ("c"c <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. <br /> WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. <br /> PANEL MANUFACTURER: Veeder-Root 4909. MODEL#: TLS-350 490-8. <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 990- MODEL#(S); Liquid Sensor Series 794380-407 490-10. <br /> - ..........................._..........._._...._..--._....................._...........__......_.........._......................................._......._..................................................................-................................._...._....----....................................................._.............._................................................................._................_............_....._.....__.... <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§2643] 491-11. <br /> PANEL MANUFACTURER 490-12. MODEL#: 490-13. <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS .DAILY/NIGHTLY c. LY 490.16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS eci 490-18. <br /> g.p.h. g.p.h. (Specify): a90-19. <br /> ........................... <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20. <br /> -_.-............................................-.................................................................._......................................................................_.-..--..._.-__........................__.............................................................................................................................._..............._.......................................---.......................................__....._...._.................... <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§2645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49490-21.2 z1. <br /> -_.................................__.........__.. .................................................................................................................................................................._..._........................._.-.._................. <br /> _...-----......._.................._............_..........................................................................................................._.....__......._.._._._._...__....__.0-2 ...._ <br /> ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] a9°-z33. <br /> TEST FRE UENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERago-za. <br /> Q (Specify):P fY.. ago-zs. <br /> ❑ 99.OTHER(Specify): agago-26. <br /> o-z7. <br /> ll <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) Mackay) <br /> ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. <br /> [23 36] SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ® c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. <br /> §2636] <br /> PANEL MANUFACTURER:Veeder-Root 490-30. MODEL#: TLS-350 490-31. <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL#(S): Liquid Sensor Series 794380-352 490.33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b,NO 490-34, <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 491-35. <br /> __......-._.............................................................................................................................................................................................................................._...........---..........................._................................_._...........__...._....._..........._..._.. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR(MELD)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§2636] <br /> MLLD MANUFACTURER(S): 490-37. MODEL#(S): 490-38. <br /> ......................................_..._............................................._..........................._............_.... ...................._..................._........................................... ...... <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 49040. MODEL#(S):PLLD Series 848480-003 490-41. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49042. <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 491-44. <br /> ............................................................................................................................_............._....... .-._........_....................__..........._........................................................................................................._............ <br /> ❑ 4.PIPE INTEGRITY TESTING. 490-45. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ayo 0 6 <br /> .................._.......__......-........__............__.............._......................................................._.................._...................................._._........_......_-............................_..--._........._. <br /> ❑ 5.VISUAL PIPE MONITORING. 491-48. <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. <br /> *.Allowed for.-nitorin.of unburied e=FRFRsy�enerator fuel ppi�onlyper HSC.2528.1:.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)] 490-50. <br /> _..._....._....._......-......_......_....................._............................................................................._..---..._................-............_..-_.._...-_....._._._...... -..............................................................................................................................__..........._..................._._..........._-...._......_....__....._..._...._.........._.._............. <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. ago-sl. <br /> .._......._.......-._. ..........--............-............---..............................................._.................................................................................._._........................ <br /> ❑ <br /> ago <br /> 99.OTHER(Specify) <br /> 490.53.. <br />