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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-,(Page 1 of 3) <br /> TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. <br /> PLAN TYPE ® 1.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): 490-2a. <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1 <br /> I _1 I I I I I I I := 1 <br /> BUSINESS NAME(Same as Facility Name or DBA) ARCO 02093 3. <br /> BUSINESS SITE ADDRESS 3425 TRACY BLVD 103. BUSINESS SITE CITY 104. <br /> TRACY <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 specified <br /> by the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified ersonnel. 23 CCR 2632,2634,2638,2641 <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY El99.OTHER(Specify): 490-3a. <br /> III. MONITORING LOCATIONS 490-36. <br /> ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED (23 CCR§2632,2634] 4904. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "'eck all <br /> I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAUL.that TS) a9oy) <br /> WITH AUDIBLE AND VISUAL ALARMS.(23 CCR§2632,2634] <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. <br /> PANEL MANUFACTURER: Veeder Root 490-7. MODEL#: TLS-350 490-8. <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL#(S): 794390-407 490-10. <br /> ❑ <br /> 2.A IC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§26431 490-11," <br /> PANEL MANUFACTURER: 490-12. MODEL#: 490-13. <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. <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): 49x18. <br /> 490-19. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 C_CR§2646.1] -- 490-20. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§26451 _ TESTING PERIOD: F14 <br /> a.36 HOURS ❑ b.60 HOURS---490-21. <br /> 90-22. <br /> ❑ 5.TANK INTEGRITY TESTING PER(23 CCR§2643.1] ---�-- ---'---- '- ago-23. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY <br /> _ - - e.OTHER(Specify): 490-24. <br /> ❑ <br /> 99.OTHER S eci ago-zs. <br /> ( P fy)� � 490-26. <br /> '90.27. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thatak 111 <br /> ® <br /> I.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490.28. <br /> [23 CCRSECONDARY CONTAINMENT IS: ® a.DRY <br /> §2636] ❑ b.LIQUID FILLED ❑ C.PRESSURIZED ❑ d.UNDER VACUUM 490-29. <br /> PANEL MANUFACTURER:Veeder Root 490-30. MODEL#: TLS-350 490.31. <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-32. MODEL#(S): 794380-323 490-33, <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490.34. <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-35. <br /> 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.(23 CCR§26361 PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. <br /> MLLD MANUFACTURER(S): 490.37. <br /> MODEL#(S): 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):Veeder Root 490"40, MODEL#(S): PLLD 49041. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.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 49044. <br /> ❑ 4.PIPE INTEGRITY TESTING. ago-as. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046• <br /> 490,47; <br /> El 5.VISUAL PIPE MONITORING. - 49048 <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" 49049. <br /> Allowed for monitoris of unburied emer�ncy 8enerator fuel piping on!X e t S"025281 S 6��3 W❑ _6.SUCTION PIPING MEETS EXEMPTION CRITERIA.(23 CCR§2636(x)(3>] _ _ _ 490-s0. <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. -490-51:' <br /> ❑ <br /> 99.OTHER(Specify) <br /> 'ago-sz. <br /> 490.53. <br /> Arco 02093,Belshire Environmental Services Page I Of 6 <br /> 1 <br />