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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 1 of 2 [TYPE OF ACTION ❑ L NEW PLAN X 2.CHANGE OF INFORMATION 4951 PLAN TYPE X I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ,9a2 (Check one uem oNv) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(Sy 1. FACILITY INFORMATION FACILITY tp q(Agerry Ux Orllr9 BUSINESS NAME(Some as Facifiry Name or DBA) USA/Tesoro 68150 BUSINESS SITE ADDRESS 13975 E. Highway 88 °' ully Lockeford II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenancy and calibration of rwnitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equ ent nmltufacnuers insmuaions,or annually,whichever is mwe cent.Such work must A tformed unwt noel _ _ _ ... __ _-�-_ _�'..q_ __P 1=?cCR§ss).zal°.xme.zap MONITORING EQUIPMENT IS SERVICED x I.ANNUALLY ❑ 99.OTHER(Specify): "951• 990.16 LII. MONITORING LOCATIONS r ITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN X 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED ID CCa§2632.1 3+1 iV 1 V. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) 11d all UOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490.3 AUDIBLE AND VISUAL ALARMS.lel CCR§m32.261+) CONDARY CONTAINMENT IS: X a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d. TINDER VACUUMNEL MANUFACTURER: Gilbarco 190"7 MODEL q: EMC LEAK SENSOR MANUFACTURER Veeder Root 490.9 MODEL N(S): 794390.4$0 _°"a 10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SMLE WA TANK( ).(n CCR§2601 -6wl i PANEL MANUFACTURER: 490.1$- MODEL q: 490.13 IN-TANK PROBE MANUFACTURER: 440.1" MODEL q(S): 4951' LEAK TEST FREQUENCY: [Ia CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 49516 ❑ d.MONTHLY ❑ e.OTHER(Specify): 490.17 PROGRAMMED TESTS: _ ❑ a.0.1 gF:h_,_,_[I b.02,g.p.h. ❑ c.OTHER(Specify) +90.18. +90.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION Itl cca 6w+6.H - - - 2222 - ave=2o- -- - ❑ 4.WEEKLY MANUAL TANK GAUGING CM§164'1 TESTING PERIOD ❑ a.3fi HOURS ❑ b.60 HOURS +99.z1 ..---___ - ..-usaz23 5.TANK INTEGRffY TESTING PER h cca§2611 Il _- -- - - w5n ____ _ TEST FREQUENCY,_ _ ❑_a._ANNUALLY ❑ b.BIENNIALLY L_L_Y ❑ a O"FHER(Specifv): 4""'34 .. +SQ25. - X 99.DTHER(specify): Tanks are monitored b Sacrificial Anodes. ;gam +90.27 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) tow F ONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT W I IH AUDIBLE&VISUAL ALARMS. 49°22' a SECONDARY CONTAINMENT IS: X a DRY 490.29 1 ❑ b.LIQUID FILLED ❑ C.PRESSURIZED ❑ d.UNDER VACUUM PANEL MANUFACTURER:Gllbarco 09''30 MODEL q: EMC 490.11 LEAK SENSOR MANUFACTURER: Veed@r ROOt °9°33 MODEL N(S): 794380-208 49an PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e..TURBINE)SHUTDOWN. X a.YES ❑ b.NO 490.1+ FAILUREANSCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. X a.YES ❑ b.NO +gals -_-..__MECHANICAL LME LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49516 PRODUCT FLOW WHEN A LEAK IS DETECTED.(n CCRIM361 49°17. MODELq(S): LD2000 (87), FX1V 490-3' MLLD MANUFACTURERS):Veperleas Red�eeles! - -LO- --- ----- 3.ELECTRONIC NE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.(23 CCRIM361 49o-19. ELLD MANUFACTURER(S): 490°0- MODEL N(S): 49541 PROGRAMMED M LME LEAK TEST: ❑ &MINIMUM MONTHLY 0.2 g,p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49 2 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO 490.°1 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES [Ib.NO 190'4° 4.PIPE INTEGRITY TESTING. _ _. TEST FREQUENCY: ❑ aANNUALLY ❑ b.EVERY3 YEARS ❑ c.OTHER(Specify) 49 ___.. .. 1"7 S.VISUAL PIPE MONITORING. °was FREQUENCY: ❑ a DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49°.49 __ ____-- _.. 6( __ -�AlbwaW nabibnnga(u vitl anvgmar esu«PoN�pnL 5(�I(I)__ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[M CCR§z61e(12636(03)] HSC J129190:'0w I + . El 7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49as i ❑ 99.OTHER(Specify) tIPCF UST_D(122007)-ITE www,un§docs..org