03/16/2009 HON 7: 51 FAX 209466,1433 SJC ERD Am ®001/004
<br /> ""'UNIFIED PROGRAM CONSOLIDATED FORM
<br /> UNDERGROUND STORAGE TA14K
<br /> MONITORING PLAN-(Pago I of Z)
<br /> 'TYPEF OACTION 0 1.NEW PLAN Gr2.CHANGE Or.INFORMATION 490-t
<br /> PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTe AT THIS FACILITY.
<br /> Check one iter only-ir-2"THIS PLAN COVERS ONLYTHE FOLLOWING UST SYSTEM(S1
<br /> �_ ____ •1. FACILITY INFORMATION _
<br /> FACILITY IDN(ARer'cy We Only)
<br /> 6USINIESS NAME(Sauna as FACILITY NAME)~
<br /> BUSINESS SITE ADDRESS 10T CITY 104.
<br /> IL EQUIPMENT TESTING AND PRE,VENT MAINTENANCE
<br /> Posting,preventiYe maintenance,And Calibration of monitoring cquipmcill.(e.g.,sensom.probes,lino leak doteetors,etc,)must In perfomiod At the fiequency
<br /> SpCei6ed by 1110 cquipmeut manufacturers'hmnietions,or annually,whicbem is morc ffecluom,and that such Work muaL be perfonned by qualified personnel.
<br /> (23 CCR Q2G�2,2634,2618,2Ga ......................................._....._.. .-.._•. ....-.....,....-•--••--.................-.........................I........-- _......
<br /> --
<br /> MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify); ;
<br /> ,._.....�...:M_.,.._.._...�._�_._ _rrr.moNxTotzrN LCATIONS
<br /> ❑ 1.NISW SITE PLOT PLANIMAP SUDMITTED WITH THIS PLAN. ,SITE PLOT PLAN/MAP PREVIOUSLY SUIlMirm. (23 CCR§2632,
<br /> IV,TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S),,m M
<br /> [� I CONTINUOUS ELI;CTRONICTANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT __•OTs
<br /> VAULT(S)WITH AUDIOLE AND VISUAL ALARMS.�(2/3 CCR§2632,2634)
<br /> SECONDARY CONTAINMENT IS ❑ a.DRY �1 b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 400'6
<br /> ..........---•-_..............--......................_--
<br /> ^........................ ...................................._...,............_.....I.......................
<br /> PANEL MANUFACTURER. :::741GA9� 490 y, 490.8
<br /> MODELO
<br /> ..................................... ......... _ �.. 1111.....V._ 1111__
<br /> _.- _^_. •-•---•--•-•------.....-..•..,
<br /> LEAK SENSOR MANUFACTURER �!D' . MODEL N S): e90 10
<br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S),(23 CCR§2643) 4510 n 1
<br /> PANEL MANUFACTURER; 4`'011' MODELM 4510.11
<br /> ---•-............_........--•_ - _ ___�_...........-•------------••-----•--------------------------^--..--_.................................._...---^.^_..-.................,........._..--.. ..
<br /> IN-TANK PROBE MANUFACTURER: 480.14' MODELw_(_S_)_-. iwis
<br /> .................................................................^_,�_ _ --_._...^..-,-........... .........,--•........
<br /> LEAK*QST'PREQU.ENCY; ❑ A.CONTINUOUS O b.DAiLYMIGHTLY -❑ c.WEEKLY _-
<br /> .. --•490.14
<br /> ❑ d.MONTHLY -❑ a:OTHER(S(lecil�). . 490-17
<br /> ••......._......•..
<br /> PROGRAMMED TESTS; [I a.0.1 g•p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 499 0.13
<br /> ❑ 3.MONTHLY STATISTICAL INV SNTORY RECONCILIATION(23 CCR§2646,1); 00.20
<br /> C) 4.%VPCKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTINO PERIOD: D a.36 HOURS (Ib.60 HOURS 4000.22
<br /> $.TANK INTEGRITY TESTING(Z3 CCR§7643.1); 490.3!
<br /> TEST FREQUENCY; C1 a,ANNUALLY J_-) h.BIENNIALLY Q c.OTHER(Specify): 490-25
<br /> ❑99,OTHER (Specify): _ _ _ 490•'17
<br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check nU that apply) -
<br /> MISWAL
<br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)ANDOTHER SECONDARY CONTAINMENT WITH AUDIBLE AND '190-m ALARMS, (23 CCR§2636)
<br /> SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED ❑o.PRESSURIZED ❑d.UNDER VACUUM 490.29
<br /> ..............................._..................................................... ....-•-......•...._._..................I-.-.........--•-•-•-•- ------........ .190.3
<br /> 1111._..__1.1_1_1 3
<br /> PANEL MANUFACTURER: �.�c v 0 , MODELN: /D
<br /> -............................................................ .............................................. _.. _._._,.' - �._Cy f7-- -^.
<br /> LEAK SENSOR MANUFACTURER; cam•o>/C-G��7/ _ 440-2'T.M-0.DEL N(S(:----i--�- Li.�- °'a3s
<br /> ....----...--.........^.............^..-._..............11.1.............,.....1. ......•-•--•--•- --- --•-•-......-_._._.._....
<br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e..TURB1NS)SHUTDOWN. a.YES ❑b.NO 40034
<br /> FAILIALVDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490.13
<br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.6 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF
<br /> PRODUCT FLOW WHEN A LEAK ISDETECTED(23 CCR•§3636) .._........_ 490-36
<br /> ._.._._._�.__.._..--^...._.1111..^........................ _^-1111-........ __..-.....,............._......�-�-^-�--------------... -•--------._e.�---••
<br /> MLLDMANUE ACTURER(S: 490•)7 MODGLI)(S): 4510.35
<br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINIRLY PERFORMS 3.0 g.p.n.LEAK TESTS (23 CCR§2636) 490 39
<br /> ^. .........................................................................................._...........................1.11.1.....•. 40.1.
<br /> 496.40. r--11........._ _..----_.._..__.._..__•__..-•--•--1111.---11.11..-•a(lii"ii'-
<br /> ELLDMANUAACTURER�S) i MODELN(S);
<br /> ....._......_......- -•-^ _. •^ -----------...-•----..................._...-•------•--...•..-,..,..^............................_..............__.._.............................
<br /> ..._.
<br /> PROGRAMMED IN UNE LEAK TEST; Q 1.MINIMUM MONTHLY 0,2 g.p.h. ❑ 2.MINIMUM ANNUAL0.1 g.p.h. 490.42
<br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490•43
<br /> ELLD FAILURFJDISCONNECTION TRIGGERS AUTOMATIC PUMP SI1UTDOWN, 0 a.YES ❑b.NO 9510.44
<br /> 4.PIPE INTEGIUTY TES G 490.45
<br /> TESTFREGUENCY " n.ANNUALLY ❑ b.EV[RY 3 YEARS ❑ *.OTHER(S ccif) 4M46 400-47
<br /> 5.VISUAL PIPE MONITORING. •190.48
<br /> FREQUENCY 0 a.DAILY ❑ b.WEEKLY ❑e.MIN.MON'fI1LY R LIACHTIMESYS'T6M OPI:RATff)° 490-49
<br /> •Afb'Kd for in9n60• 91uMhn4irAt 9nC nc •ipomor fuel pilft only MSC al361, a
<br /> [I 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)I. -Imso
<br /> ❑ 7.NO REGULATED PIPING PER fil;Al TH AND SAFETY CODE,DIVISION 20,CHAPTLrR 6.715 CONNECTED TO THE TANK SYSTEM
<br /> 490.51
<br /> ® 99,OTHER(Specify) 490 S!
<br /> UPCF USI'-D(11/1007)1/4
<br /> � 'd tSLO '°N OW6 60H }�o
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