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jLI) AL�� UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- a e 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): I. FACILITY INFO TION FACILITY ID#(Agency Use Only) 1. BUSINESS NAME(Same as Facility Name or DBA) 3. Tracy Blvd Shell 136186 BUSINESS SITE ADDRESS 3725 N. Tracy Blvd 103 crrY Tracy 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 b the eguiin t manufacturers instructions,or annual) whichever is more frequent.Such work must be erformed qualifiedrsonneL[23 CCR§2632,2634,2°38.2264tl MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99HER .OT490-30- Q (Specify): 49U-36. IH. MONITORING LOCATIONS ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR§2632,26341 490-4 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) Meek`Il yj 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632.26341 SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49U 6. PANEL MANUFACTURER: Veeder Root 40-7' MODEL#: TLS-35OR LEAK SENSOR MANUFACTURER: Veeder Root 490.9' MODEL#(S): 794380-301 490-10' _.. _-- --- --- ------ -- ................_.,..._..._....................I..._-....................... ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 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): 49x17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. Elc.OTHERS eci 49018. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION 123 CCR§2646.11 49°20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 4492. ❑ 5.TANK INTEGRITY TESTING PER 123 CCR§2643.11 49x23' TEST FRE UENCY: ❑ a.ANNUALLY El b.BIENNIALLY ❑ c.OTHERS eci 490-24. _ _----- 49 z6. ® 99.OTHER(Specify): SltflpflCl 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Che'* heckalrat qW) , ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 49128. [23 CCRSECONDARY CONTAINMENT IS: ® a.DRY [1b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49(1-29. §26361 PANEL MANUFACTURER:Veeder Root 490-30. MODEL#: TLS-35OR 490.31. LEAK SENSOR MANUFACTURER: Veeder Root 490-32. MODEL#(S): 794380-208, -352 490-33' 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. _ ------.-_...--._.........___--------__-.-.._._-___--.-._-_-._ __..-._-. --_-_-_--3 ---- e®.__-_-_-__-__.--_.----ICTS OR. ..-.S OFF 49-6. ❑ 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49036. PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 _ MELD 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§26361 4`90-39. ELLD MANUFACTURER(S):Veeder Root 490-40, MODEL#(S): ELLD 49°41' PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-4Z 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 490-44 -----_..-__.-.-.---.-_.- _ ___ __ _ _----___•..-_. _ ---- _ _...__.-__-..-_ . _.___-___ ❑ 4.PIPE INTEGRITY TESTING. ago as. 490-46. - TEST FREQUENCY - ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS M-❑ c.OTHER(Specify) 490-47.- ❑ 5.VISUAL PIPE MONITORING. 49048. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49. °Allowed for monitoring of unbtu_led e=r encv enerator fue..-1_pipin�oik ple HSC 252815�6�(3) «,.--- ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2636(a)(3)1 49050. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ❑ 99.OTHER(Specify) 4904-53 UPCF UST-D(12/2007)-1/5 www.unidocs.org Kf 07-