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Ad& n FIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION ® 1. NEW PLAN ® 2. CHANGE OF INFORMATION 490-1. PLAN TYPE ® 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(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) I' BUSINESS NAME (Same as Facility Name or DBA) 3. Nella Oil #487 dba Olypian BUSINESS SITE ADDRESS 983 Moffat Blvd. 103. CITY Manteca 104. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be performed at the frequency specified b the equipment manufacturers' instructions, or annually, , whichever is more frequent. Such work must be performed by qualified personnel. [23 CCR §2632, 2634, 2638, 2641] ? .............. ............. ..._. Y.............................................................9................................................. ..........._.......................... MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY Elp 99. OTHER S ecif 490-3a ( )')� 490-3b. IIL MONITORING LOCATIONS ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR §2632,2634] 490-4. Y. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S (Check all ® 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS. [23 CCR §2632,2634] SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6, PANEL MANUFACTURER: Veeder Root 490-7. MODEL #: TLS -350 490-8, LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL #(S): 304-10420 490-10. .............................................................................................................. ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643] ago -u. PANEL MANUFACTURER: 490-12. MODEL #: 490-13. IN -TANK PROBE MANUFACTURER: 490-14. MODEL #(S): 490-15. LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490-16. ❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17. a. 0.1 g.p.h. b. 0.2 g.p.h. c. OTHER (Specify): ago- 0- PROGRAMMED TESTS: [:1El11490-18. ................................... ..............-.................. ..................................................................... ........................................ _.................... ............................................................................................... ........... .... .......................................................................................... ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION [23 CCR §2646.1]490-20. ....... ....................................................................................................................................................................... ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) [23 CCR §2645] TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 490-22 0-zl .............................................................. ...............................................................................................-.....................................................................................................................................................................................................................................................................................................................................p ......... ❑ 5. TANK INTEGRITY TESTING PER [23 CCR §2643.1] 49 z3 490-24. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): .490.25, ...- .............. .......................... -.................................................................. ........................................................................................ .................... ........................................ -................ .......................................................................................................................................... 490-26. ❑ 99. OTHER (Specify): 490-27. heck all V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) tCat apply) ® 1. CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 490-28. [23 SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM ago -z9- 36] §2636] PANEL MANUFACTURER: Veeder Root 490-30. MODEL #: TLS -350 490-31, LEAK SENSOR MANUFACTURER: Veeder Root 490-32. MODEL #(s): 304-10208 490-33, PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 490-35. ...... ............. -........................................ ......... ........I--........................................................... ....................... ... ....... ... ..... ................... ....................... _....................... ..................................................... ................I-- ........................................ ............................................... ................... ............ -............ -............ .................................... .............................. .................................. ... ® 2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. PRODUCT FLOW WHEN A LEAK IS DETECTED. [23 CCR§2636] 490-37. .490-38. MLLD MANUFACTURER(S): Va orless MODEL #(s). 99LD2000 ........................................................................................... ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. [23 CCR§2636] 490-39. ELLD MANUFACTURER(S): 490-40. MODEL #(S): 490-41. PROGRAMMED IN LINE LEAK TEST: Ela. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 490-41 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-44. ....................................................................................................................................................................................................................................................................................................................................................................................................................... .......................................................................................................................................... . ❑ 4. PIPE INTEGRITY TESTING. 490-45 490-a6. TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS El c. OTHER (Specify) 490-4Z„ ..., .......................-..........-............................_........................................................_..._............................................................................................................................................................................................................................................-................................. ... ❑ 5. VISUAL PIPE MONITORING. 490-48. FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED* 490-49. *Allowed for monitorin& of unburied_ emer encx �enerator.fuel_pipin�. only Per HSC. 25281:5(b)(3) ....................................................... ........ ............................................. .... ................................................ .............................................. __...... ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. [23 CCR §2636(x)(3)] ago -so. .... ....................................................................................... ......... ......................... ........... ............-.................................................. ........................................................................ -,............................................................ .................................... _.......................................... -................. ................... .......................... ................................................. ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................49..._............ 052. ❑ 99. OTHER (Specify) 490-53. UPCF UST -D (12/2007) -1/4 www.unidocs.org