BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM 65 UNDERGROUND STORAGE TANK MONITORING PLAN-(Page I of 2) TYPE OF ACTION 0 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1 PLAN TYPE 0 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($). FACILITY 10#(Agency Use(Arty) [. FACILITY INFORMATION me _ 1 BUS ESS NAME{Saas FACILITY NAME)Costco Tracy Gas Station#658 _ s BUSINESS SITE ADDRESS 3250 West Grandine Road 103. CITY Tracy 164. IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and caltlfration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 2632,2634 263'$ 2641) MONITORING EQUIPMENT IS SERVICED - 1.ANNUALLY -- ❑ 99.OTHER(Specify}: s9a-?b III.MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 1@ 2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634 9o4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 90-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2637,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY ® b.LIQUID FILLED ❑ C.PRESSURIZED ❑d.UNDER VACUUM 490-6 �- PANEL MANUFACTURER: Veeder Root_ -- Y 490-7. MODEL#: TLS-3508 i9a a LEAK SENSOR MANUFACTURER: Vesder Reat -^- 490-9 MODEL#(S): 794380-301 Ll 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE ALL T (23 CCR§2643) +96.11 PANEL MANUFACTURER: _ 49042. MODEL#: 4990-13 IN-TANK PROBE MANUFACTURER T _440'14.- M_ODEL#(S): 490.15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 4'00`16 �- --- ❑ d.MONTHLY ❑ e.OTHERS 490-17 PROGRAMMED TESTS: a.0.1 h -490-8 ❑ g-p• ❑ b.0.2 g.p.h. ❑ c.OTHER 49D-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646,1); 490-=0 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490`21 5.TANK 1NGRTTY TESTING(23 CCR§2643.1): 4W23 TE TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 49o.2t ❑ 99.OTHER (Specify): 490-26 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) IR 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-29 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.29 PANEL MANUFACTURER Veeder Root(VR) 490'30 MODEL#: TLS 35OR 490-31 LEAK SENSOR MANUFACTURER VR satrap interior 490-32 MODEL#(S): 794380-332 4W33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. C@ a.YES ❑b.NO 490-34 FAILURE/DISC_ONNECTION 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&ph.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS-DETECTED(23 CCR§261q_ ___ 490-36 MLLD MANUFACTURER(S):Red Jacket,Vaporim 490-37 MODEL#(S): FX2V,LD2000 490.39 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3A"A.LEAK TESTS (23 CCR§26W 490-39 ELLDMANUFACTURER(S) _ -_ a9"' I MODEL*(S): 49041 PROGRAMMED M LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2-MINIMUM ANNUAL 0.1 h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 ELLD FALLUREMISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES l]b.NO 49044 4.PIPE INTEGRITY TESTING 49o4s UA TEST FREQUENCY a.ANNLLY Q b.EVERY 3 YEARS c.OTHERS i 490-46 49047 S.VISUAL PIPE MONITORING. 440.49 FREQUENCY ® a.DAILY ❑ b.WEFKLY ❑c.MIN,MONTHLY&EACH 7114E SYSTEM OPERATED- 49049 •Aflm vd Car maiwma ufunt,rcied� m"m reel HSC 4252313 b 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(n)(3)1. 490.50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) ~2 490.53 UPCF UST-D(12!2007)1/4