COMPLIANCE INFO_2005 - 2009 - Laserfiche WebLink

Home Browse Search

UNDERGROUA STORAGE TANK MON&RING 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) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION Mol. PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M02 (Check one item only) ® THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ FACILITY NAME MANTECA EXPRESS M03, FACILITY SITE ADDRESS 419 S. MAIN STREET M04 CITY M TECA, CA. 95336 Mos II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,pro s,line leak detectors,etc.)be performed in M06 accordance with the equipment manufacturers'instructions,or annually,whichever is more frequent. Such work st be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.0 ER(Specify): M07. III. MONITORING LOCATIO S This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locatio s 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 UA Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)which shows all required information,include it yfth this plan. IV. TANK MONITORfNG MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(ChecZLEWALLTANK(S) M10. ® 1.CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR(INTSPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ❑ a.DRY ❑ b.LIQUID ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM Mn. PANEL MANUFACTURER: M12. MODEL#: TLS - 350 M13. LEAK SENSOR MANUFACTURER: M14. MODEL#(S): FX1 DV M15. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR S PANEL MANUFACTURER: MI6. MODEL#: Mn. IN-TANK PROBE MANUFACTURER: MIS. MODEL#(S): M19 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20 ❑ d.MONTHLY ❑ e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ .0.2 h. ❑ c.OTHER(Specify): M22. M23. g.p.h. 8 ( P fY) ❑ 3.INVENTORY RECONCILIATION ❑ a.MANUAL PER 23 R§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)PER 23 CC 2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS M25. ® 5.INTEGRITY TESTING PER 23 CCR§2643.1 TEST FREQUENCY: ® a.ANNUAL ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. 7 ❑ 6.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY(Requires agency approval) ❑ 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING THE FO OWING METHOD(S)(Check all that apply) M30. ❑ 1.CONTINUOUS ELECTRONIC MONITO G OF PIPING SUMP(S)/TRENCH(ES)AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS* ❑ a.DRY ❑ b.LIQUID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURER: M32. MODEL#: M33. LEAK S/RE MANUFAC R: M34. MODEL#(S): Mas. WILL AG LEAK AL TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN? ❑ a.YES ❑ b.NO M36. WILL FE/DISCO CTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M31. ® 2.MECHANICE LE DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FWHEN LEAK IS DETECTED MLLD MFAC R(s):MLD M38. MODEL#(S): FX1 DV M39. ❑ 3.ELECTRONE L AK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLD MA URER: M40. MODEL#: M41. PROGRLINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. M42. WILL EETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL EAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44. ® 4.INTEGRITYINGTEST FNCY: ® a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. ❑ 5.VISUAL MOING DONE: ❑ a.DAILY ❑ b.WEEKLY* ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED** M47. *Requires agency approval •'Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25251.5(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) ❑ 99.OTHER(Specify) +..;rpSj, M48 UN-022A-1/5 , R-0 _ .n - Rev. 10/14/03