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<br /> t'NIFIED PROGRAM CONSOLIDATED FORM
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN-(Page 1 of 2)
<br /> TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 440-1
<br /> PLAN TYPE ® I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2
<br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM()'
<br /> FACILITY INFORMATION..
<br /> FACILITY ID#(Agency Use Only) - t
<br /> BUSINESS NAME(Same as FACILITY NAME) Grant Line Shell # 136187 3.
<br /> BUSINESS SITE ADDRESS 2375 W.Grant Line Road I°3. CITY Tracy 104.
<br /> II :EQUll'MENT TESTING AND:PREVENTNE MAINTENANCE
<br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency
<br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel.
<br /> 23 CCR 2632,2634,2638,2641
<br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY [199.OTHER(Specify): 490-3b
<br /> P �')- 490-36
<br /> aiTOR.!:
<br /> III.is
<br /> t,dl;P�46 ,,,,.,:z1YIO�
<br /> ING L,OCtIT,Q�1tS.zs,�f�u„e�l�I�Ih�,:4..,u � ,:.,s ,-,•.,,�,,,,�,,,.,,,t.,,xt,l� x., .,,,:.;i,,.R i.
<br /> ®1.NEW SITE PLOT PLAN/NIAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/NIAP PREVIOUSLY SUBMITTED. (23 CCR§2632,
<br /> 2634)490-4
<br /> !,!fi' IV'�I'ANI{MQtITORIIV IS PERFORMED:USING;;THEOLLOWING:METHOD(S)
<br /> N 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5
<br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634)
<br /> SECONDARY CONTAINMENT IS: ❑ a.DRY N b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6
<br /> -- -------------------- --- -- ---_- -------- -- --- - --- -- - -- - -------
<br /> PANEL MANUFACTURER: Veeder Root 490'7 MODEL#: TLS-350 440 8
<br /> ----------------- ---- - __--_ - - -- - -- --_ -------------------------------------------- - - _ -
<br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL#(S): 794380-301 490-10
<br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11
<br /> PANEL MANUFACTURER: 490-12- MODEL#: 490-13
<br /> _------------------------ ----- ---- --- -- - ------ ------- -
<br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): ago-ls
<br /> ---------------___ --_-___�- __-_ -_-_---------_---. ____� -_----------------- __---_--------------
<br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY x90.16
<br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17
<br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): 490-1s
<br /> g•P• g•P• fY)� a90-19
<br /> ❑ 3.NIONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20
<br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22
<br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23
<br /> 490-24
<br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25
<br /> N 99.OTHER (Specify): Simplicity 490 26
<br /> 490-27
<br /> V,PIPE VIONITQRING,IS PERFORMED USING TfIE kOLLOV}' NG�VIETHOD(S)(Ch;eck all that,iapply); i ,„,;;
<br /> N 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28
<br /> VISUAL ALARMS. (23 CCR§2636)
<br /> SECONDARY CONTAINMENT IS:Na.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED [:Id.-UNDER-VACUUM 490-29
<br /> PANEL MANUFACTURER: Veeder Root 490-30- _ MODEL#: TLS-350 490-11
<br /> v LEAK SENSOR MANUFACTURER: Veeder Root--^ -� -090-32 MODEL#(S): 79430
<br /> .8 -352;208 - 490-33
<br /> - PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. N a.YES ❑b.NO-- _ 490-34
<br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a.YES ❑b.NO 490-35
<br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF
<br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR2636 490-36
<br /> MLLD MANUFACTURER(S): 490-37 MODEL#(S): 490-38
<br /> N 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39
<br /> ----------------------- -- -----i ----- ------ - --
<br /> ELLD MANUFACTURER(S) Veeder Root ! MODEL#(S): PLLD
<br /> 49040. 49041
<br /> -__-______-_______---_-______________gP_______ ________-----_-_--________________________
<br /> PROGRAMMED IN LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 h- El2.MINIMUM ANNUAL 0.1 g.p.h. 490-42
<br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. (]a.YES ❑b.NO 49043
<br /> ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a.YES ❑b.NO 49044
<br /> ❑ 4.PIPE INTEGRITY TESTING 49045
<br /> TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046 49047
<br /> ❑ 5.VISUAL PIPE MONITORING. 49048
<br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490.49
<br /> Allowed for monitoring of unburied emergency enerator fuel pipirig only per HSC 25281.5 3
<br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50
<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 /> ❑ 99.OTHER(Specify) 490490..52
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<br /> USt•Itesponse Plan(3/2008)3/3
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