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UNIFIED PROGRAM CONSOLIDATED FORM <br /> • UNDERGROUNDSTORAGETANK • <br /> MONITORING PLAN-(Pae 1 of 2) <br /> TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1 <br /> PLAN TYPE ❑ L MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> BUSINESS NAME(Same as FACILITY NAME)Valero#3698 a <br /> BUSINESS SITE ADDRESS 153 E. 11 Street 103. CITY Tracy 104. <br /> II.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance, and calibration of monitoring equipment(e.g.,sensors,probes, line leak detectors,etc.)must be performed at the frequency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> (23 CCR§2632,2634,2638,2641) <br /> MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY ❑ 99.OTHER(Specify): 490 3b <br /> HI.MONITORING LOCATIONS <br /> ❑ 1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. NO 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, <br /> 2634)4904 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT-490-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCA§2632,2634) <br /> SECONDARY CONTAINMENT IS: ® a.DRY El b.LIQUID FILLED El c.PRESSURIZED [Id.UNDER VACUUM 490-6 <br /> PANEL MANUFACTURER: Gilbarco MODEL#: EMC <br /> 490-]_.. 490-8 <br /> LEAK SENSOR MANUFACTURER: Gllbarc0 ' MODEL#(S): 420 490-10 <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 <br /> PANEL MANUFACTURER: 49o-I2. MODEL#: 490-13 <br /> '--44014. -------- '-'-490-5 <br /> IN=TANK PROBE MANUFACTURER: _ MODEL ___ ___ <br /> - __.____-__ __--______ <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 <br /> __ ___ -❑ d_MONTHLY ❑ e.OTHER(Specify): __ 490-17 <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 49900-i9 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 <br /> 490-22 <br /> ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 <br /> 490-25 <br /> El 99.OTHER (Specify): 36 month secondary containment testing 490-26 <br /> 490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> - ------- ------- <br /> PANEL MANUFACTURER:Gilbaz490-30 co MODEL#: EMC 490-31 <br /> ---_LEAK SENSOR MANUFACTURER_ GilbazCO -_----_-_______ ___ _ _ _-490.32 L MODEL#(S)_208 __ _ __ 490.33 <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 490-34 <br /> FAB.UREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-35 <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR§2636)_ 490-36 <br /> MLLD MANUFACTURER(S):Red Jacket °90.37 MODEL#(S): FX-1V 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> - ELLD MANUFACTURER(S)__ _ _ 4944°.IMODEL#(S): 49041 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 <br /> ® 4.PIPE INTEGRITY TESTING 490-45 <br /> TEST FREQUENCY ® a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48 <br /> FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 <br /> Mowed for monitoring of unburied emergency enerator fuel piping only HSC§25281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(x)(3)]. 490-50 <br /> ❑ Z NONREGULATED PIPING PER HEALTH,AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> ❑ 99.OTHER(Specify) 490-52 <br /> 49053 <br /> UPCF UST-D(12/2007)114 <br />