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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Pae I of 2) TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION 49.j0-1 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(�): FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) Grant Line Shell #136187 3• BUSINESS SITE ADDRESS 2375 W.Grant Line Road 103Y Tracy 104• 71 x '�;II 1:,QUI1VIEiVT;TES TANG AND•P]] EVETV�EVIAYNTEIYAIyGE.. 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 2632,2634,2638,2641 ____-�-_ - _ _ ^--- ---- MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY M❑ 99.OTHER(Specify): 490-3A � I �ral,+Ir ttrii PII�JTdl l: IN< O 1 T 1 1.NEW SITE PLOT PLANAVIAP SUBMITTED WITH THIS PLAN. Ttr`iot:$ ; ®2.SITE PLOT PLAN/i41AP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 .a:<�.s.• :,1 ( it ,r,�{ l� O` U I ,PERS R1VIE -fJ ING�rt'#Ik"' O >�;O Ir G!1VIETI elx ,.. a ✓ ttet*. ?rfl 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-350 _ -- LEAK SENSOR MANUFACTURER: Veeder Root - 490.9. MODEL#(S):- 794380-301 --- 990 to 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 49043 IN_-TANK PROBE MANUFACTURER: 490'14- MODEL#(S): 490 Is LEAK TEST FREQUENCY: ❑ a.CONTINUOUS. --- - -❑ b.DAILY/NIGHTLY - ❑ c.WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): - -- -- - 49°-19 PROGRAMMED TESTS: ❑ a.0.l 8•P• g•P• fY)� 49919 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(IVITG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 4 0:22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 90- TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 425 ®99.OTHER (Specify): Simplicity 490-2649D-27 9D 26 ro T Dg�( p �q( .�+ y'+. N('�M�+ ( \ 490-27 t ?F- .:4„.A,e9.f:: E7 u l 7a...,?1,t r- .y ,b°..,1"n+l�h' \..1. , ;:«:,y:..:•,'x! i k r�:'• V P L+f.` QNI GYS.`1'E F®RIVIED SIG H OL O I HODS Check allptftatapply);Af1reii :3i I.CONTINUOUS MONITORING OF PIPEt PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-23 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER: Veeder Root 49MOD_EL#:_TLS-350 - 490.31 010_ 4 - � - LEAK SENSOR MANUFACTURER: Veeder Root 90-]2- MODEL#(S): 794380-352,-208 499-33 - 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.d1ECHANiCAL LINE LEAK DETECTOR(hHLLD)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 ELLD MANUFACTURERS} Veeder Root _ ---- - - - - 440'-._MODEL#(S):_PLLD-- _ -_ _ _ _ 4"47- ELLD 90 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 FAILUREADISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 49044 4.PIPE INTEGRITY TESTING 49045 TEST FRE UENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER S eci 490.4649047 5.VISUAL PIPE MONITORING. 490.49 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY r2 EACH TIME SYSTEMOPERATED* 490.49 •Allowed for monitorin of unburied emergency aerator fuel pipi.g ordy pa NSC 25231.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 ❑ 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) 49992 990-91 UST Response Plan(312008)3/3