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UNIFIED PROGRAM CONSOLIDATED FORM BCE #14573 UNDERGROUND STORAGE TANK MONITORING PLAN-(PaLe 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): Tank#4-Fuel Additive 7-7-T tTIUN77 FACILITY ID#(Agency Use Only) 13USINESS NAME Game as Facility Name or D" Costo©Gasoline(Loc.No.1081) BUSINESS SITE ADDRESS 103. CI Y 104. 2680 REYNOLDS RANCH PARKWAY LODI `1'E - D.`I' UIP G .. ...N Q 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 a ui ment manufacturers'instructions or annual!yj whichever is more fWWt.Such work must be performed al fied personnel.123 ccR 263 2634,263x,264q MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490.3b. 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/§W PREVIOUSLY SUBMITTED 123 c cR§26332,26341 490.4. T 1VIOlTTOLTAIG L5 PE :::. .° SIlYG T` E]FOI1. 1lTHQD.��::. ct�ecx all ■ 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(II+tTERSTTTIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 45• WITH AUDIBLE AND VISUAL ALARMS.123 CCR 12632,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY fil b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: Veeder-Root 490-7' MODEL#: TLS-3508 4"4. LEAK SENSOR MANUFACTURER: V er-Root 490.9. MODEL S: 784380-303 490-10. 2 AUTOMATIC TANK GAUGING(ATO)SYSTEM USED TO MONITOR 0-;M.=WAU 1ANK(51.123 CCR§26431 490-11. PANEL MANUFACTURER: 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER 490.14. MODEL#(S): 490-15. LEAD TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 417. PROGRAMMED TESTS: 13a.0.1.4 12.h. ❑ . b.0.2 .h. c.OTHER(Specify4 4W18.-9 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 490-20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)123 ccR§264x] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 4 MI ❑ 5.TANK INTEGRITY TESTING PER 123 OCR 92643.11 490-23. TEST FRE UENCY: a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER S eci49024. ...4M09- ❑ 99.OTHER 4 T. S. [ SiNN�s. BIir4.rQ1XJi�47ai1Q11.��7� that N I.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE c&VISUAL ALARMS. 440 2$• 1"j,SZ SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED Q d.UNDER VACUUM 4129. PANEL MANUFACTURER: Veeder Root 4')0-30' MODEL#: TLS-35OR 490-31• LEAK SENSOR MANUFACTURER: V er-Root 490-32. MODEL#(S): 784380-323 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. 91 a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Q 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 1S DETECTED.123 CCR§26361 MLLD MANUFACTURER : FE Petro 490.37. MODEL S: MLD-D 490.38. 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS.(23 CCR§26367 490.39. ELLD MANUFACTURER(S): 1 49°40. MODEL#(S): 49041. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.ph. ❑ b.MINIMUM ANNUAL 0.1 g ph. 490-02. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490.43. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49x44. ❑ 4.PIPE INTEGRITY TESTING. 490-45• TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS c.OTHER(Specify) 4 490.46' 5.VISUAL PIPE MONITORING. 440"31. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ e.MIN.MONTHLY&EACH 11ME SYSTEM OPERATED" 49049. for EELtoft oP 8ue1 '' [PSC 25284 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.J23 CCR§2636(3)(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. W 99.OTHER(Specify) Veeder-12.Oot #7943$0-304 at sUmp, 857280-1.00 Vac Sensors UPCF UST-D(1=007)-1/4 www.voldecs.org