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® Fg-)I �fP1, ,[gin FIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK l y I MONITORING PLAN - (Pae 1 of 2 TYPE OF ACTION ❑ 1. NEW PLAN ® 2. CHANGE OF INFORMATION : N ,. 9 a 490-1. PLAN TYPE ❑ 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. PER t - 0-o E 490-2. (Check one item only) ® 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): DIESEL TANK #1,2,3 8c 6. GASOLINE TANKS #48x5. 77�T(� T �7 . ' as'�.;a RMA�l®l�,a '"%;'. <, ;" .r x,•,:: i., �,s,', a,e��T 1'® FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as Facility Name or DBA) FLYING J TRAVEL PLAZA 3. BUSINESS SITE ADDRESS 1501 NORTH JACK TONE ROAD 103. CrIY RIPON 104• LL+. M .. `uu G PREVENTIVE MAIl 'ENt�CEy�� . Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency specified the equipment manufacturers' instructions, or annually, whichever is more frequent. Such work must be performed by qualifie, d personnel. [23 CCR §2632; 2634, 3826411 MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99. OTHER (Specify): 490-3b. Rm T%MOivITOF1ING;Ie®ATIONS r[23 ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED CCR §2632,26341 490-4. az ® 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,26341 SECONDARY CONTAINMENT IS: ® a. DRY Z b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6. PANEL MANUFACTURER: VEEDER-ROOT 490-7. MODEL#: TLS -350 490-8. LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490-9. MODEL AS): 303 490-10. .._......... ...._._..._......_... ....... ..�........._ _ _.. _._. ....... 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). [23 CCR §26431 a9au 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): 490-17. PROGRAMMED TESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHER (Specify): 490-I8. _. _...._......._.._......_. _.v __. ___.__ _..__...................................................................._................... a90-19. .... g.p.h. g:p:............._..................._.......�_.._._.__.. 1? .._�._.. ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 CCR §2646.11 .L� ......... 490-20. .................0 21 "" ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [23 CCR §26451••••••••_•••••••••••• _........."""""""""TESTING PERIOD: " ❑ a. 36 HOURS .❑."""b. 60 HOURS - ....._....._...._......._........._................_....._.............._...._...� 490-22 _.._....._............_.._.._._.................................................................................._......................_.__.�__...___....._....._.........__...._.........._..a....._.._....__._........_.................................b...._...._._.............-.--.-..._..._..._._._............... -22...._........ ❑ 5. TANK INTEGRITY TESTING PER [23 CCR 02643.11 490-23. TEST FREQUENCY: Ela. ANNUALLY ❑ b. BIENNIALLY [3 o T 490-24. pecOTHER (Specify): 490-25; ® 99. OTHER (specify): VISUAL DONE DAILY •_•..•. 49426. W, p;w1WW p�,,�,.490-27. V: PH'E M(�8Q US G THE SOL � ® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28. [23 CCR §26361 SECONDARY CONTAINMENT IS: ® a. DRY Elb. LIQUID FILLED ❑ c. PRESSURIZED [Id. UNDER VACUUM 361 490-29. PANEL MANUFACTURER: VEEDER-ROOT 490-30. MODEL#: TLS -350 490-31. LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490-32. MODEL #(S): 208 490-33. 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. _❑ ® 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 496=367 PRODUCT FLAW WHEN A LEAK IS DETECTED. [23 CCR§26361 MLLDMANUFACTURER(S): RED JACKET/VAPORLESS 490-37. MODEL#(S): RJ 116-059-5/LD2000 _....._..._.......... .............. _.. _._......_...... 490-38. _...._......_.................... ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 ccR§2636] 490-39. ELLD MANUFACTURER(S): 490-40. MODEL #(S): 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 490-42. 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. 490-45. 90-46. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ® c. OTHER (Specify) N/A D/T os.shutdown 447. _....._....._............................................. ..._Q.._._..._....._.._.....__-.._._....................................................._. ._.. ...................._�._..... ....��.... ....49447......_. ® 5. VISUAL PIPE MONITORING. 490-48. FREQUENCY: ® a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49. .x Allowed for monitoring of unburied emergency generator fuelpiping.only per.HSC §25281. S(W ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 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. 49451. _....._.__._...._....__......_......................__..._.......... ....... ............ ❑ 99. OTHER (Specify) 490-52. 490-53. UPCF UST -D (12/2007) - 1/6 www.unidocs.org