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I , UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Pa c I of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4911-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(SI- I. FACILITY INFORMATION FACILITY ID#(Agencv Use Unlv) - - 1 BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UGOI O/ESCLCA 1 I 3 BUSINESS SITE ADDRESS 1812 COLEY AVE 103 1 CITY ESCALON 104 II.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. X23 CCR§2632,2634_2638:2641)____ MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(•P S eci 490-3a fY$ 490-3b IIL MONITORING LOCATIONS ®1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o-4 IV.TANK MONITORING IS PERFORMED USING 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 ❑d.UNDER VACUUM 490-6 - ----•-•---------------------------- - - ---------- --------- - - - - -------- ------------- ------ - ------- PANEL MANUFACTURER: VEEDER ROOT 490-7 MODEL#: TL5-350 490-8 ---- --- -- ------------------- - -- - ----------------------- --- ------ ---- -- - ------ LEAK SENSOR MANUFACTURER: Veeder Root 4049. MODEL#(S): 794390-420 490-to El 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12 490-13 MODEL#: ----------------------------------- -------------------------------------------- - - - -- - - - -- - -- - - -- ---15 IN-TANK PROBE MANUFACTURER: a90-1a MODEL#(S): 490-1s LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17 ---------------------------------------MONTHL ------------------------------------------------------------------- PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ OTHER S ecif 490-18 c. (•P Y)� 490-19 ❑ 3.MONTHLY STATISTICAL INVEN'T'ORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL.TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: Ela.36 HOURS ❑ b.60 HOURS 400-21 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: [Ia.ANNUALLY b.BIENNIALLY [:1c.OTHERS i 4400-25 90-24 490-26 ❑99.OTHER (Specify): 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(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:®a.DRY [:Ib.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM a90-z9 -- --------------------------- ---'-- -490.30 490.31'--- PANEL MANUFACTURER:Veeder Root MODEL#: TLS-350 -------------------------------------------------------------------------------------------------------------------------------------------------------------------- 490-32 490-33 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 52636) 490-36 MLLD MANUFACTURER(S): 490-37 MODEL#(S): 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORINS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 -----------'------------------------------{-------------------------------------------------------------------------------•--------------------------------------------------------------- 490- F -41 - ,LLD MANUFACTURER(S) 1 MODEL#(S): -- - - ------------------------------------ - ----------------------------------------------------- -------------------------------------------------- - -- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.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 49045 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-s7 ❑ 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490-49 •Allowcd for monitoone ofunbu6ed emer encu generalm fuel piping oniv lyr HSC x+'25281 5(b93 ❑ 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 490-5I 490 52 ❑ 99.OTHER(Specify) a90-53