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ED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK NOR MONITORING PLAN- (Pae 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# Z(}1761 BUSINESS SITE ADDRESS 103. CITY 104. '�103 S. Main fit. Manteca, GA 95337 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 equipment.manufactsuers'instructions,or annuall,whichever is more frequent._Such work must be performed byRualified personnel[z3 ER§2632,2634,2638,z6at] 490-3a. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b III. MONITORING LOCATIONS ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 490-4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "he" that �ll ® 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: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-. PANEL MANUFACTURER: Veeder-Root 490-7. MODEL#: "IIS-350 490-8. 90- LEAK SENSOR MANUFACTURER: Veeder-Root 9. MODEL#(S): Liquid Sensor Series 794380-409 410-11. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11. PANEL MANUFACTURER 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S). 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS EJT.DAILY/NIGHTLY Lj c. 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS i 490-18, g.p.h. g'p- Pec fy): a90-�9:_... _ --_...� - ...._.. .. ..... El 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 420 _- _-_-_..._.........................._............-._._._____.___._-_-- --- ---...._._....-_.--__.._.__........._........_...__-....... El 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§2645] TESTING PERIOD: C] a.36 HOURS C] a9 b.60 HOURS ago . o-22. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490.2 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER S eci fY) 49424. ( p � a90-zs. . _-.---------._._...._................._...__-.._......_._......_......__.._.__.-----...-.._...----- -'---._...._._...__._.__...__.__.._..._._.._... 490-26. ❑ 99.OTHER(Specify): 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "ht apply) eck' ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ® c.PRESSURIZED ❑ d.UNDER VACUUM 490-29- §26361 PANEL MANUFACTURER:Veeder-Root 490-30. MODEL#: TLS-350 490-31. LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL#(S): hquid Sc sur Serie 79-)380-208 490-33. 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§26361 490-39. ELLD MANUFACTURER(S):Veedef-Root 490-40 MODEL#(S): 1'LI.1)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. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. Z a.YES ❑ b.NO 49043- ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 1 a.YES ❑ b.NO 49044. -._....................._._........................................................._........................_.......--- - .._-......_._-----.........................._....._............................................_.__............._ _---...._-........._...._....._....-----._-.__....._....._.........._.5...... ❑ 4.PIPE INTEGRITY TESTING. ago as. 046. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49aa. - .... -._._._._.....- ---- _ -._.... --------..__..__... -_.._......._------------ --- ..__ ❑ 5.VISUAL PIPE MONITORING. 490 48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. ------------........_..__�_...._f Allowed for monitorin�of unburied emergeencygenerator fuel..ping,onlyper HSC X252812 5(6x3) .__-_ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(ax3)] 490-50. ----._.. -- -- ------._......---..................._.._._.__.._.._._.. ----..._._.._..... ------- - -_ ..._.._....--......_-_........._.._...._......__............._........................__.._.. ----........ _ ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 4v°s1. --.-.........__...... _............ -._._..................__....... - --------- --------.._..._........._...._...... -----..._.. ... --_ ......__._._....-_._..__._. ❑ 99.OTHER(Specify) 490 s2. 490-53.