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IED PROGRAM CONSOLIDATED FO <br />UNDERGROUND STORAGE TANK <br />MONITORING PLAN - jPale 1 of 2 <br />TYPE OF ACTION X 1. NEW PLAN ❑ 2. CHANGE OF INFORMATION <br />490-1. <br />PLAN TYPE X I. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. <br />490-2. <br />(Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br />L FACILITY INFORMATION <br />FACILITY ID # (Agency Use Only) <br />1 <br />BUSINESS NAME (Same as Facility Name or DBA) <br />Tesoro/Shell 68151 <br />3. <br />BUSINESS SITE ADDRESS 35 N. Cherokee Lane 103. <br />CITY LOCA <br />104 <br />IL EQUIPMENT TESTING AND.PREVENTIVE MAINTENANCE <br />Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency specified <br />b the "q i ment manufacturers' instructions, or annual) , whichever is more frequent. Such work must be performed by qualified personnel. [23 CCR §2632, 2634, 2638, 26411 <br />}... p................................................................_........................x..................................................._q ....... ... <br />MONITORING EQUIPMENT IS SERVICED X I. ANNUALLY ❑ 99. OTHERS eci <br />Q ( p f�): <br />490-3a. <br />490-3b. <br />III. lYIONITORIIG LOCATIONS <br />❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR §2632, 2634] <br />490-4. <br />IV TANK MONITORING IS ftRFORMED USING THE FOLLOWING METHODS)t a k ill <br />X 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) <br />490-5. <br />WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,2634) <br />SECONDARY CONTAINMENT IS: X a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM <br />490-6. <br />PANEL MANUFACTURER: Gilbarco 490-7. MODEL #: EMC <br />490-8. <br />LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL #(s): 794390-420 .............................. <br />490-10. <br />............................................................................................................................................. __................................................... ... <br />❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). [23 CCR §2643] <br />490-11, <br />PANEL MANUFACTURER: 490-12. MODEL #: <br />490-13. <br />IN -TANK PROBE MANUFACTURER: 490-14. MODEL #(S): <br />490-15. <br />LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY <br />490-16. <br />❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. <br />PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHERS eci ago-1s. <br />4qo i9:............. <br />...................................................................................................................................................................................g:p:.........................................................................�:p.........................................................................................._......p........_�...�...... <br />❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.11 <br />490-20. <br />.................... <br />........... .... ............................. -............................................... ......................................................................... -............................................................................................................................... -......................................................... .......................................................................... ........................................................................................................................4 <br />❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [23 CCR §26451 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS ago -ii 21 <br />.............................................................................................................................................................................................................._................................................................................................................................................................................ <br />❑ 5. TANK INTEGRITY TESTING PER (23 CCR §2643.11 <br />490-23. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHERS eci 490-24. <br />..........490-25:............. <br />..............................................................._��'..... <br />99. OTHER (Specify): 490-26. <br />❑ 490-27. <br />lld <br />V'. PIPE MONI'T'ORING Its PERFORMED USING THE FOLLOWING METHOD(S) <br />that <br />ack <br />pp <br />X 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. <br />490-28. <br />[23 CCRSECONDARY CONTAINMENT IS: X a. DRY El b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM <br />§2636] <br />490-29. <br />PANEL MANUFACTURER: Gilbarco 490-30. MODEL #: EMC <br />490-31. <br />LEAK SENSOR MANUFACTURER: Veeder Root 490-32. MODEL #(S): 794380-208 <br />490-33. <br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ❑ a. YES X b. NO <br />490-34. <br />FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES X b. NO <br />490-35. <br />..................................---..._._..............._............................................................_............................................................................................................................................................................._.....................................1..111..................... <br />X 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF <br />490-36, <br />PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§2636] <br />MLLD MANUFACTURER(S): Va orless 490-37. MODEL #(s): LD2000 .............................. <br />490-38. <br />..................................................................................................................................... ............................... ................... 1111............... <br />❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] <br />490-39. <br />ELLD MANUFACTURER(S): 49040. MODEL #(S): <br />490-41. <br />PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. <br />490-42. <br />ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO <br />490-43. <br />ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO <br />490-44. <br />............................................................................................................................................................. ..................... -................................... ........ ... ...................................................................... .................... ....................... -.................. -................. .......................... .................. _................. ................................ ............................. ................. <br />❑ 4. PIPE INTEGRITY TESTING. <br />- .......... ........ <br />490-45. <br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER S eci 490-46. <br />Q.............._..........................................................................................................................................................................................................................................................................-....................._�..._p........._��..... 4.9.0.74.2 ................ <br />.............................................................................. <br />❑ 5. VISUAL PIPE MONITORING. <br />490-48. <br />FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* <br />490-49. <br />..............................................................................* Allowed for monitorin�.of unburied. eme!RS!!S ..generator fuel pi�in�. only,per, HSC,.§25281,;5,(b),(3,).,,.,,......,.,..........,, <br />...................................................... <br />................................................................................................................................................._............... <br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 CCR §2636(a)(3)] ........ ..... ........................ ...................................... <br />490-50. <br />...........- <br />...... ................................................... ............................ ................ ... ............. ..... ....................................................................................................... _............................................. I ........... .... _.................................................... ................. ................................................................. ................. ...................... ...................... <br />❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. <br />490-51. <br />.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1111... <br />El99.OTHER (Specify) 490-52. <br />490-53. <br />UPCF UST -D (12/2007) - 1/5 www.unidoes.org <br />