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ED PROGRAM CONSOLIDATED FORV UNDERGROUNDSTORAGETANK NIT - e 1 o 2 TYPE OF ACTION 1.NEW PLAN C12.CHANGE OF INFORMATION 2921. 'LAN TYPE 0 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 2902. Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I, TACELITYINFORMATION FACILITY ID#(Agency Use Only) t' BUSINESS NAME(Same as Facility Name or DSA) Chevron Station#201761 3. BUSINESS SITE ADDRESS 103. CITY 104. 1103 S. Main �, Manteca,CA 95337 SAND PREVENTIVE NTEN C 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 equ rr ent manufacturers'instructions or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR_§2632,2634,2638,2.641] MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): - 490-3b. M. MONITOMNG L CATI. NS ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN [12.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 490-4. T` hat ggp MO O G IS'PE: " :O VS G T, FOLLO G T O (S) t(Checkalt 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTMAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED El d. UNDER VACUUM 29°6. PANEL MANUFACTURER: Veeder-Root 490-7. MODEL#: TLS-350 490.8. LEAK SENSOR MANUFACTURER: Veeder-Root 490- MODEL#(S): Liquid Sensor Series 794380-407 490'10. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 PANEL MANUFACTURER 49012. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S). 490-15. LEAK TEST FREQUENCY: ❑ a.CONTOMUS 5.DAILY/NIGHTLY 0 c,w=Y 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS ci 49x18. g.p.h. g.p.h. (Specify): 49019. 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20.C14.WEEKLY MANUAL TANK_GAUGING(MTG)[23 CCR§26451µr _ TESTING PERIOD: [I a.36 HOURS El b.60 HOURS 490-22. PER[z3 ccR§2643.1] - 49023. ❑ 5.TANK INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY El b.BIENNIALLY El c.OTHER(Specify): 490-25.2a. ❑ 99.OTHER(Specify): 490-26. 490-27. 'IS. 19 . " `O D US G FOL G- O ( )71 , (Check ail ® 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 [3b.LIQUID FILLED ❑ c.PRESSURIZED [Id.UNDER VACUUM 49029. §2636] PANEL MANUFACTURER:\feeder-Root 49030. MODEL#: TLS-350 49031. LEAK SENSORMANUFACTURER: Veeder-Root 490-32. MODEL#(S): Liquid Sensor Series 794380-208 49033. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 49034. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. _ a.YES ❑ b.NO 49035. ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 440-36. PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 MLLD MANUFACTURER(S): 49037. 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):Veeder-Root 49040 MODEL#(S):PLLD Series 848480 03 49041. 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 4 - ❑ 4.PIPE INTEGRITY TESTING. 490-45. 490-46 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c,OTHER(Specify) 490-47. ❑ 5.VISUAL PIPE MONITORING. - - - 490.48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MtN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049. Allowed for monitoring of unburied emency aerator fuel piping only per HSC§25281.5(6 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 ccR§2636(8X3)] ago so. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51, 490-51 ❑ 99.OTHER(Specify) 490-53.