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UNIFIED PROGRAM CONSOLIDATED FU UNDERGROUND STORAGE TANK IV MONITORING PLAN-LPage 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION ago-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( -#6 I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - - 1 BUSINESS NAME(Same as FACILITY NAME) Flying J Travel Plaza-#618 3' BUSINESS SITE ADDRESS 1501 N. Jack Tone Rd 103 CITY Ripon 104. QVIPMENT,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 by the equipment manufacturers'instructions,or annually,whichever is.more frequent,and that such work must be performed by qualified personnel. 23 R 2632 CC2634,2638,2641) _( _ MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY [:199.OTHER S eci 490-30- ( P fY)� 0-40-36 III.NO1VITORING;LOCATiONS'`: ®1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 1:12.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o-4 IV.:.TANKIVIONITORING`IS PE.RFORIVLED,:USII�TG THE FOLLOWING METHOD(S): 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 [Id.UNDER VACUUM 49°6 PANEL MANUFACTURER: Veeder Root MODEL#: TLS-350 490.7. LEAK SENSOR MANUFACTURER: Veeder Root q90-9' MODEL#(S): 794380-303 490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13 ------------------------------- -- - 490-14• MODEL#(S): 0-90-19 IN-TANK PROBE MANUFACTURER: 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. ❑ e.OTHER490.18 g.p.h. g.p.h. (Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 490-2T- ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23490-24 90-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY El c.OTHER(Specify): 4vo 25 490-26 ®99.OTHER (Specify):VISUAL DONE DAILY 490-27 Y PI.P.E NIT O19N,G IS P.ERFgR1YIEIl.0$jNG THE FOLLOWING:METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:Na.DRY ❑b.LIQUID FILLED []c.PRESSURIZED ❑d.UNDER VACUUM 490.29 490.30 - - 490-31 PANEL MANUFACTURER: Veeder Root -----� __- MODEL#: TLS-350 _- -_-_ ------------------- ------- ----- -- - ------ -- - - 440-32 - 0-90-33 LEAK SENSOR MANUFACTURER: Veeder Root MODEL#(S): 794380-208 - ----- ------ -- - ----- 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 PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 --_--.....-- 490-36 MLLD MANUFACTURER(S): RED JACKET 0-90-37 MODEL#(S): FX1DV&FX1V 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) _490.39 --- ----- - ------ - - - --- - --- __-____.______-________._________-_______ a�ao. r 490-41 ELLD MANUFACTURER(S) - !_MODEL#(S)_------ -------------- __ -- - PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. El 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES El b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES El b.NO 490-44 ❑ 4.PIPE INTEGRITY TESTING 490-45 TEST FRE UENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS eci 490.46 490-47 ❑ 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED° 49049 •Allowed for monitoring of unburied emergency enerator fuel piping only HSC 25281.5 ❑ 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 0-90-52 ❑ 99.OTHER(Specify) ago-s3 UPCF UST-D(12/2007)