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IED PROGRAM CONSOLIDATED FOJW 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. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1. BUSINESS NAME(Same as Facility Name or DBA) 3. Chevron Station#201383 BUSINESS SITE ADDRESS 1960 W 11 th St. 103 CITY Tracy, CA 95376 104 II. 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 e ui ment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,2638,26411 .................................P..................................................................................................................................................._._...................---..._........._..............................9......................................................... ........................................._.....................--'--.._...... ................................................................................................................................ MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER490-3a. Q (Specify): 490-3b. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED490-4. [23 CCR§2632,2634] IV. TANK MONITORING IS PERFORMED USING'THE FOLLOWING METHOD(S) t ck all 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,2634] SECONDARY CONTAINMENT IS: N a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: Veeder-Root 490-7. MODEL#: TLS-350 490-8. LEAK SENSOR MANUFACTURER: Veeder-Root 490 MODEL#(S): Liquid Sensor Series 794380407 490-10. .... EU.❑ ......................................................._........_..............................................---...........................__............................,..........................................................................._...................._..._._. ........_.........K(S).[23 CCR§26x3]._.-..._.._...............__._................................................................................................................................................490-I l...2.AUTOMATIC TANK GAUGING(ATG)SYSTEM US) D TO MONITOR SINGLE WA PANEL MANUFACTURER 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS .DAILY/NIGHTLY Lj c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER490-18. g•P• g•P• (Specify): 490-19. ................................................................................................................................................................_....................................__..........................._....... .....-....................... ---.._.............................._.................................................... ........-......_. ---'- ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20. ............................................................................................................................................_.._.-.__...._............_........_.................._........................................_..............................................................................................._.............................._.-.........................................__._........................._..._................................................................I............ ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§2645] TESTING PERIOD: Ela.36 HOURS El b.60 HOURS 490 22. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24. Q (S P fY.. 490-25. ❑ 99.OTHER(Specify): 490-26. 490-27. ll V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that k apply) ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 CCR§2 36] SECONDARY CONTAINMENT IS: ® a.DRY El b.LIQUID FILLED ® c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. PANEL MANUFACTURER:Veeder-Root 490-30. MODEL#: TLS-350 490-31. LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL#(S): quid Sensor Series 794380-208 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-35. ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36, PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§2636] MLLD MANUFACTURER(S): 490-37. MODEL#(S): 490-38. _._..._..- '-'-......._.........._..-._.__....._.......' -............................. ...................................................................................... _-----............. ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§236] 490-39. ELLD MANUFACTURER(S):Veeder-Root 490-40. MODEL#(S):PLLD Series 848480-003 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, ® a.YES ❑ b.NO 490-44. _....._........._.._........................................................................................................................................................................_................._. ❑ 4.PIPE INTEGRITY TESTING. 490-45. FREQUENCY: ❑ a. El b.EVERY 3 YEARS El c.OTHER4 90-46. TEST FRE ANNUALLY Q (Specify) 490-447.7. ❑ 5.VISUAL PIPE MONITORING. ago-a8. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. 'Allowed for monitorin of unburied emer enc enerator fuel i in on] er HSC 25281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(x)(3)] 490-S6 . . ........._......_..._..................................................................................-......._........__...._..............._...... --..................................._...._....................................._........................................................_.................._._......._._.-._....................................................._......................._.......---......................._.............._.._...............__......._......................_._.._ ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ....................................................................................._.........._..._........_.-_............................................................................................................................................_._.............................._._.._.._....__.............._.__......_.........................................................................................................................................................................._..................._...... ❑ 99.OTHER(Specify) ago-sz. ago-s3.