COMPLIANCE INFO_2012-2018 - Laserfiche WebLink

Home Browse Search

r IFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Page 1 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. 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 - - 1 BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UG010/ESCLCAl l 3. BUSINESS SITE ADDRESS 1812 COLEY AVE 103 CITY ESCALON 104. H.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) ------------------------------------------------------------------------------------------------------------------------------------------------- -------------- --------------------------- UIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3a MONITORING EQUIPMENT ( p �)• 490-3b III.MONITORING LOCATIONS ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 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 ----------------------------------------------------------------------------------------------------------------------------------490-Z-T----------------------------------------------------------------------------8 PANEL MANUFACTURER: VEEDER ROOT ; MODEL#: TLS-350 ------------------------------------------------------------------------------------------------------------------------------------- - - ------------------------------------------------------- LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL#(S): 794390-420 490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(n.(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. c.OTHER S eci 490-18 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: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 490-22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: a.ANNUALLY ❑ b.BIENNIALLY c.OTHER(Specify): 490-2a Q ❑ ❑ ( p fY)� a90-25 ❑ 99.OTHER (Specify): 490-26 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 496-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED Cc.PRESSURIZED ❑d.UNDER VACUUM 490-29 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PANEL-MANUFACTURER:-Veeder-Root 490-30 '1 MODEL#: TLS-350 490-31 LEAK SENSOR MANUFACTURER: Veeder Root MODEL#(S): 794380-208 490-32 � 490-33 ---------------------------------------------------------------------------------------------------------------------------------------'----'-----i-------------------------------------------------------------------- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ®b.NO 490-34 FAILUREIDISCONNECTION 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 X2636)____ ------ 490-36 ------------------------------ ------------------------------------------------------------------ MLLD MANUFACTURER(S): 490-37 MODEL#(S): 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. i MODEL#(S): 490.41 ------------------------------ ---------------------------------------------------------------------------- - ----------------------------------------------------- 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 49043 ELLD FALLURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 49o-45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046 49047 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ®C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 *Allowed for monitoring of unburied emergency enactor fuel piping only HSC 25281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 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)1/4