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IFIED PROGRAM CONSOLIDATED F 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(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) 1. BUSINESS NAME (Same as Facility Name or DBA) Chevron Station# 307709 3, BUSINESS SITE ADDRESS 10858 Trinity Parkway 103. CITY 104. Stockton, CA 95219 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 a ui ment manufacturers' instructions, or annually, whichever is more frequent. Such work must be performed by qualified personnel. [23 CCR §2632, 2634, 2638, 2641] MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99.OTHERS eci (p �)' 490-3& 490-3b. III. MONITORING LOCATIONS ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED 123 CCR §2632,26341 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)heck -Il that apply) I. 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 490-1.MODEL #: TLS-350 490-8 LEAK SENSOR MANUFACTURER: Veeder- Root 490-MODEL #(S): 303 490-10. 9. ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl. [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 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): 490-18. 490-19. - ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 cCR §2646.1] 490-20. ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) 123 CCR §26451 TESTING PERIOD: ❑ a. 36 HOURS El b. 60 HOURS ..-- -... 490-21. 490-22. ._ ❑ 5. TANK INTEGRITY TESTING PER [23 CCR §2643.1] 490-23. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): 490-24. __........_... 490-25. �_..........__.. ❑ 99. OTHER (Specify): - 490-26. 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) Steck all ® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 190.21, 123 61 §26336] SECONDARY CONTAINMENT IS: ❑ a. DRY ® b. LIQUID FILLED Elc. PRESSURIZED ® d. UNDER VACUUM 190-22 PANEL MANUFACTURER: Veeder-Root 490-30. MODEL #: TLS-350 190-31. LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL #(S): 208/304 190-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 190-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 190-35. ❑ 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 190-36. PRODUCT FLOW WHEN A LEAK IS DETECTED. 123 CCR§26361 MLLD MANUFACTURER(S): 490-37. MODEL #(S): 190-38. ® 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 cCR§2636] 190-39. ELLD MANUFACTURER(S): Veeder Root 49040. MODEL #(S): PLLD 19041. PROGRAMMED IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1g•P• h. 19042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 19043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMPSHUTDOWN. ® a. YES ❑ b. NO 1904_ 4. _ ._...... _... _........ ❑ 4. PIPE INTEGRITY TESTING. 19045. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS[] c. OTHER (Specify) 490-46. 490.47. ❑ 5. VISUAL PIPE MONITORING. 49048. FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TINE SYSTEM OPERATED' 49049. Allowed for monitoringof unburied emergency enerator fuel i in onlyper HSC 25281.5 3 ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA- (23 CCR §2636(aX3p 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) Product & Vapor Lines Monitored with Veeder Root Vacuum Smart Sensors - 49° 52• 490-53.