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t i< ROGRA-N! CONS01JUATED R �. .1,E) UNDERGROUND STORAGE TANK MONITORING PIAN - (Page 1 ®I2) TYPE OF ACTION El L NEW PLAN ® 2. CHANGE OF INFORMATION 490 PLAN TYPE ❑ 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 400_1 DIESEL TANKS 1,2,3 & 6. GASOLINE (Check one item only) ®2- THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): TANKS #4 & 5 I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) � T I __LLi 1. BUSINESS NAME. (Same as Pacilin, Name or DBA) FLYING J TRAVEL PLAZA 3 BUSINESS SITE ADDRESS ,1501 NORTH JACK TONE ROAD "' I CITY RIPON G4. II® EQUIPMENT TESTING AND PREVENTPREVENTWE MAINTENANCE 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 Such work must be performed by qualified personnel. [23 CCR §2632 2634.2638, 26411 .. ...... .......... ...... ......... MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY El( P 99. OTHER S ecif�): 490-3490-3b. b. III. MONITORING LOCATIONS -- L--._ ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR §2632.26341 490-4. 'llecal IV. T MONITORING IS PERFORMED USING T FOLLOWING TROD(S) thatak ,ppryJ ® 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: Z a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6. PANEL MANUFACTURER: VEEDER-ROOT/OMNTEC 490-7. MODEL.#: TLS -350/800011 490-8, 490-9. MODEL #(S): 303 490-10 . LEAK SENSOR MANUFACTURER: VEEDER-ROOT. ......................._._..................................... ......................................._............................................................................................................... ....... ❑ 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. DAILYINIGHTLY ❑ c. WEEKLY 490-16. ❑ 490-17. d. MONTHLY ❑ e. OTHER (Specify): q90 -t0-. PROGRAMMED TESTS: ❑ a. 0.1.._g.p_hb. 0.2 g.p.h:..............................._❑..._c. OTHER (Specify).:..._. ......_....... _. ...... 49490:....8...... .............................._❑ .. .......... .................................... ....... _... ............. ._......... _. .. _..... ........ ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 CCR §2646.11 490 2° ......................... ..................................._...................... .............. ..... 90 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [2 CCR §26451 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 4 21 .. .. . ..... .. .. ..... .......... .. .... ..... _ .............. ... ........ .... .. ......,.......... ... .......... .... .......... ........._...... _... ._.......... _...................... .... __.. .... .... .._..... ..... 490-23. ❑ 5. TANK INTEGRITY TESTING PER [23 CCR §2643.11 TEST FREQUENCY: .... ............... ........ . ......................................... Z---R9_OTHER(Speci£y)_.VISUAL-DONE-DA6LY _ -0-909026_. V. PIPE MONITORING IS PERFORMED USING T FOLLOWING TROI3(S) (Check that apply) ® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 411-28. [23 CCR SECONDARY CONTAINMENT IS: Z a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-29. §2636] 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. Z a. YES ❑ b. NO 490-35. -....-._....__......_._......_..... _..__.._.._._................_..._._...........__....._._..................._......... .......... ... .............................. ................... ................ ............... ............._........ _......... _....... .._._....._..-- ® 2. MECHANICAL LINE LEAK DETECTOR (MELD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§26361 MLLDMANUFACTURER(S): RED JACKET 49G-37. MODEL#(S): FX1DV, VMI, FE PETRO 490-38. ._......9....._........ ........................................._....................._..........-............_................_................................I....._..............._._............._..........................._....._ ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] 4 0-39. 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 El b. NO 490-44. ............ .................... ............... ........... ........ _........._ . ............. _............... . ❑ 4. PIPE INTEGRITY TESTING. 490-45. 490-46, TEST FREQUENCY: ❑ a. ANNUALLY El b. EVERY 3 YEARS ® c. OTHER (Specify) N/A D/T os.shutdown 490.47_ ................................................................ _........._.._-....... --_. .... .............. ..................... .......... .... . 490-0-8. Z 5. VISUAL PIPE MONITORING. FREQUENCY: ® a. DAILY ❑ b. WEEKLY ❑ c MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49. ' Allowed for monitonng of,unbuned emergency ¢enerator fuel piping, onl�.per,HSC §2528]5(6)(3) _.... . ... ....._.... ... .._ .... .....__. ... ....... __....... ....... _................................ _. ....._............................................ ... .._... _. ... ..... .......... .. _. .. .. 4 ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 CCR §2636(a)(3)] 90 -so. ........................................................................ .................. _....._........._._...................... .... _....._... _............._................_..._......._.......... _... ....-1-................ ............... ........................... .............. _............. ................... ..... ..................... .............................................. ......._................................ .................._..... ......................... .............. ..................................... ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ........... ............... .... _ ..................... _.._............_._.........._..........._....................-................... ..........._.........................._....._..._._....................... _.................. ....._.._............................. .............. ..._.............. ...._........_.._........__...................... ............ ........._..-....................................__........................................ ........._......__.... ......_._................._................. ........._... El 99, OTHER (Specify) 490-52. 49053. UPCF UST -D (12/2007) - 1/4 www.unidoes.org