|
UNIFIED PROGRAM CONSOLIDATED FORM
<br />UNDERGROUND STORAGE TANK
<br />MONITORING PLAN — (Page I of 2)
<br />TYPE OF ACTION x LNEW PLAN El 1 CHANGE OF INFORMATION 490-1
<br />4
<br />PLAN TYPE? X 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 90-2
<br />(Check one item oniy) C] 2. THIS PLAN COVERS ONLY I'HE FOLLOWING UST SYSTEM(S):
<br />I. FACILITY INFORMATION
<br />FACILITY ID.4 (Agency b'se On(y)
<br />BUSINESS NAME (Same as l-acih4,Nanre or DBA) USA/Tesoro 68151
<br />BUSINESS SITE ADDRESS ttw
<br />35 N. Cherokee Lane CITY Lodi
<br />11. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE
<br />preventive maintenance, and calibration of monitoring equipment (e.g.. sensors, probes, line leak detectors, etc.) must be performed at the frequency specified
<br />by the equipment manufacturers' instructions, or annual y, whichever is more frequent. Such work must be performed hy qualified persvlmcl, 121 CCR 52631, 2614. '(All
<br />_111_111 I - 1111a-1 1.1111, - - __ _. I I 1_1____1 111- 1
<br />II- 4wi
<br />MONITORING EQU IPMEN r IS SERVICED X L ANNUALLY El 99 OTHER (Specify):
<br />111. MONITORING LOCATIONS
<br />❑ L NEW SITE PLOTPLAWMAP SUBMITTED wrrH THIS PLAN (:1 2. SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED 123 CCR §2632,26.1111 4904
<br />( ' 'eck all
<br />IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (h
<br />that app1j,)
<br />1 X I. CONTINUOUS ELECTRON IC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S)
<br />WILL I AUDIBLE AND VISUAL ALARMS, [23 CCR §2637, 26341
<br />SECONDARY CONTAINMENT IS: X a, DRY 0 b. LIQUID FILLED C3 c. PRESSI, , 1RIZED 0 d, UNDER VACUUM 490-6
<br />PANEL MANUFACTURER: Gilbarco 4W.7 MODEL. #: EMC 49M
<br />4901Q 41-11
<br />LEAK SENSOR MANUFACTURF"R: Veeder Root MODEL #(s): 794390-420
<br />❑ I 1�0fbmxfitfl i KiLLWALLTANKLS'. t23 CCR q.6431
<br />N6 (ATG) SYSTEM USED TO MONITOR alN
<br />490-12 MODEL, is. 41K,131
<br />PANEL MANUFACTLIRER:
<br />49,M4 MODEL #(S)� asap -15
<br />IN -TANK PROBE MANUFACTURER,
<br />LEAK TEST FREQUENCY: [I a, CONTINUOUS ❑ b. DAILY'NIGHTLY ❑ c- WI-L-,KLY
<br />490.17
<br />❑ d. MONTHLY ❑ e. OTHER (Specify):
<br />ls
<br />�i
<br />PROGRAMMED TESTS: ❑ a. fl. I g,p.h. C1 b. 0.2 -,P.h� ❑ c. OTHER (Specify).: 4q0- 19 _�o
<br />---
<br />[j 3. -MONTHL.Y STAT --- L -S -TICAL IN,V,EN-*T-0RY R LCONCILLATION- IZ-3C& §264A 11
<br />4. WFI.',,Kl.,Y MANUAL TANK GAUGING (M TG) t23 CCR §264.51 rESTING PERIOD• ❑ a- 36 HOURS ❑ b. 60 HOURS 490-22,
<br />❑431-21
<br />5. TANK INTEGRITY'ri,"sTING PER [23 CCR §264.3 11 490-23490-24
<br />LEST FREQUENCY: Ela. ANNUALLY C3 b. BIENNIALLY 0 c. OTHER (Specify): coo 2s
<br />440-26
<br />C1 99.oTHER(Spccifv). 49027
<br />V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all
<br />X 1, CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS, 460-2g
<br />113 CCR SECONDARYCONTAINMENTIS: X a. DRY ❑ b. LIQUID FILLED D c. PRESSURIZED n d. UNDER VACUUM 490-29
<br />§26361
<br />PANEL MANUFACTURER: Gilbarco 490-30 MODEL #: EMC 490.31
<br />LEAK SENSOR MANUFACTURER: Veeder Root 4"'32 MODEL #(s): 794380-208 4oG-33
<br />PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.c.,TURBINE) SHUTDOWN. ❑ a. YES X b, NO 4911-34,
<br />FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN ITDOWNFj a. YES X b. NO 4gc s1_
<br />6 -------------- 40-
<br />X 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g,p,h. LEAK TESTS AND RESTRICTS OR SHTJTS OFF 9
<br />PRODUCT FLOW WHEN A LEAK IS DETECTED. 123 CCR§126361
<br />MLLD MANUFACTURER(S): Vaporless 490-3 7 MODEL #(s): L 200 . ..... 49'3-39
<br />C1 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g,pJiLEAK TESTS. [2-3 CCR§26361
<br />ELLD MANUFACTURER(S): 4W-40 MODEL e(S): 41,1941
<br />490-4
<br />PROGRAMMED IN LANE LEAK TEST: C1 a. MINIMUM MONTHLY 0.2 g-lp,h, 0 b. MINIMUM ANNUAL 0.1 g,p,h.
<br />190-42
<br />3
<br />ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a. YES C1 b. NO
<br />ELLD FAILUREIDISCONNE(7rlON'I'RIGCjERS AUTOMATIC PUMP SHUTDOWN, [I a. YES E] b. No 4110-44
<br />❑ �904 5
<br />4, PIPE INTEGRITYTESTING,
<br />490-46
<br />TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS [I c. OTHER (Specify) 490-47
<br />490-48
<br />❑ 5. VISUAL PIPE MONITORING.
<br />FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY 0 C. MIN, MONTHLY & EACH TIME SYSTEM OPERATED, 490-49
<br />AinejfiKmnil ring 9(9-bu _PjPpg only, PeJ�s 5^
<br />. ............ ..... ....... . . . 490-;0,
<br />❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. (23 CCR §63,6oQl3)j .. . .. ..... .......
<br />C]7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTEDTOTHE TANK SYS TENT 490-il
<br />0 99. OTHER (Specify) 490-11_
<br />UPCF UST -D (12/2007) - 115 www.unidoes.org
<br />
|