COMPLIANCE INFO 1998-2006 - Laserfiche WebLink

Home Browse Search

UNDERGROUW STORAGE TANK MONWORING PLAN For use by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited: Title 23 CCR, Sections 2632(d)(1), 2634(d)(2), and 2641(h) M01. TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION Moz. PLAN TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - - Mm. FAC LITY NAME USA GAS#65 FACILITY SITE ADDRESS 2500 W. LODI AVE. Mot, CITY LODI M05. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)be performed in M06. accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work must be performed by qualified personnel. Mol. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel,etc.). If you already have a diagram(e.g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) Mw. ® 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTERS'T'ITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M° PANEL MANUFACTURER: VEFFIFR ROOT Mlz MODEL#: TI S350 M13. LEAK SENSOR MANUFACTURER: \/FEDFR ROOT _ M14. MODEL#(S): I S3 MI5. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S) MIT PANEL MANUFACTURER: MODEL#: w o. IN-TANK PROBE MANUFACTURER: MIB. MODEL#(S): LEAK TEST FREQUENCY: ❑ a CONTINUOUS E] R. b.DAY/NIGHTLY [I C.WEEKLY 1'r2°. ❑ d.MONTHLY El c.OTHER(Specify): M23. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. C] c.OTHER(Specify): M22. Mz3. C] 3.INVENTORY RECONCILIATION E] a MANUAL PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24' ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M2'6' ❑ 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ❑ a ANNUALLY E] b.BIENNIALLY E] c.OTHER(Specify): Mz7. ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Ralulresage approval) Mze. ❑ 99.OTHER(Specify): V. PIPE MONITORING M30. MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all that apply) ® L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)rFRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ a UNDER PRESSURE ❑ d.UNDER VACUUM ADI. PANEL MANUFACTURER:VFFDFRROOT _ M32. MODEL#: TLS 350 W3. LEAK SENSOR MANUFACTURER: \/FFDFR ROOT M34. MODEL#(S): 908 M35. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a YES ® b.NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ® b.NO W7. ® 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 Noy MLLD MANUFACTURER(s):RFD JACKET blla. MODEL#(S): FX1V FX1DV ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS Mao. MODEL#: M4 1. ELLD MANUFACTURER: PROGRAMMED LINE INTEGRITY TESTS: ❑ a MINIMUM MONTHLY 0.2 g.p.h. [Ib.MINIMUM ANNUAL 0.1 g.p.h. M4z. WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO M43. WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a YES ❑ b.NO M44. ❑ 4.INTEGRITY TESTING M45. M46. TEST FREQUENCY: ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ❑ 5.VISUAL MONITORING DONE: ❑ a DAILY ❑ b.WEEKLY* ❑ a MIN.MONTHLY&EACH TINE SYSTEM OPERATED" M47. *RwOu'veseg yspprovel •'Allowed Por monitoring ofuMuried emergenncy gmmwr fuel piping only Per HSC§25281.5(bX3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) Mas. ❑ 99.OTHER(Specify) UN-022A-115 www.unidoes.org Rev.10/14/03