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BCE#14573 NIFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK "Do" EV 'Ell 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. DEC 14 ZU1U 490-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S). I FACILITY INFORMATION ONM<r AL, FACILITY ID#(Agency Use Only) -jPE"M11ySEPV1qES t BUSINESS NAME(Same as FACILITY NAME) COSTCO GASOLINE FACILITY #1091 3. BUSINESS SITE ADDRESS 322 E. HARNEY LANE 103. CITY LODI 104. H.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 manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 42632,2634 2638 2641 MONITORING E UIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHERS eci 490-30- Q ( p fy)� 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)4904 IV:TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS) ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 _ PANEL MANUFACTURER: VEEDER-ROOT _ _ 490-7. MODEL#: TLS-3508 490-8 LEAK SENSOR MANUFACTURER: VEEDER-ROOT T 4919 MODEL#(S): 794380-301 490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13 IN-TANK PROBE MANUFACTURER: _ 490-14. MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS -�� ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS eci Ovals g•P• g•P• (Specify): avare ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 4.WEEKLY MANUAL TANK GAUGING MTG 23 CCR 2645. TESTING PERIOD: ❑ 36 HOURS ❑ b.60 HOURS 490-21 ❑ ( )( § ) a• ago-zz 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY El c.OTHER(Specify): 4990-z5 ❑ 99.OTHER (Specify): 490-26 ago-n V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) ®1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28- VISUAL ALARMS. (23 CCR§2636) Piping Sump Piping SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ®d.UNDER VACUUM 490-29 PANEL MANUFACTURER: VEEDER-ROOT 490-30 1 MODEL#: TLS-350R 490-31 LEAK SENSOR MANUFACTURER: VEEDER-ROOT a9a3z MODEL#(S): 857080-112 490-33 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 PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 490-36 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§2636) 490-39 ELLDMANUFACTURER(S) VEEDER-ROOT 490-40. MODEL#(S): 848480-001 490-41 PROGRAMMED IN LINE LEAK TEST: ® 1.MINIMUM MONTHLY 0.2 g.p.h. ® 2.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. El a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 490-45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-4649047 ❑ 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 *Allowed for monitoring of unburied emergency enerator fuel piping only er HSC§25281.5(b)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 El 99.OTHER(Specify) ago-sz 490-53 UPCF UST-D(12/2007)1/4