COMPLIANCE INFO_2009-2010 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-2ale 1 of 2) TYPE OF ACTION ❑1.NEW PLAN E 2.CHANGE OF INFORMATION 490.1 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($): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) I I I - I I I I -I I I I I 11 BUSINESS NAME(Same as FACILITY NAME) Flying J Travel Plaza-#617 3' BUSINESS SITE ADDRESS 15237 N. Thornton Rd 103' CITY Lodi 104' TL EQUIPMENT 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 CC_R X2632,2634,2638,2641 90- MONITORING EQUIPMENT IS SERVICED E 1.ANNUALLY El99.OTHER(Specify): 4990 -3y M.MONITORING LOCATIONS ®1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49oA M TANK MONITORING IS PERFOTl1VIED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WTTH.AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT_IS: ❑ a.DRY E b.LIQUID FILLED ❑ c.PRESSURIZED_ ❑d.UNDER VACUUM 490-6 PANEL MANUFACTURER:�_ Veeder_Root 440-7. MODEL#: TLS-350 490-8 LEAK SENSOR MANUFACTURER:- Veeder Root 490'9' MODEL#(S): 794380-303 490-10 El 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKo.(23 CCR§2643) 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.DAILY/NIGHTLY ❑ c.WEEKLY -490-16 _ ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h.V ❑ c.OTHER(Specify): 49aia� g•P• g•P• P fy) 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: C] a.36 HOURS El b.60 HOURS 490.22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY [3 c. (Specify):OTHER(S 490-24 •J 490-25 ❑ 99.OTTER (Specify):VISUAL DONE DAILY 490-2649D.27 440-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) I.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 440.28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:Ea.DRY ❑b.LIQUID FILLED_❑c.PRESSURIZED ❑d.UNDER VACUUM 490-29 _ PANEL MANUFACTURER: -Veeder Root - 4_30 MODEL#: TLS-350 - 490-31 _LEAK SENSOR MANUFACTURER: Veeder Root 490-32 MODEL#(S): 79438_0-322 �- -� •490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. E a.YES ❑b.NO 490.34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a.YES ❑b.NO 490-35 E 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_CCCR2f�636L _ _ -__-_ _ _-� M-36 MLLD MANUFACTURER(S): FE PETRO 490.37 MODEL#(S):MLD 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) -- 40. MODEL#(S): PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0,2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 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 49044 E 4.PEPE INTEGRITY TESTING 490-45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ a OTHER(Specify) N/A D/Tpos.shutdown 49046 490.47 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.49 •Allowed for motdtorin orunhurW sn enc -sates fuel Piping only HSC 12S281. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)]. 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) 490-52 490-53 UPCF UST-D(12/2007)