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t rIFIED PROGRAIM CONSOLIDATED FOR UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) 440.1 TYPE OF ACTION ® 1. NEW PIAN ® 2. CHANGE OF INFORMATION PLAN TYPE ® 1. MONITORING IS IDENTICAL FOR ALI. UST's AT Tt IN FACILITY. 490-2 {Check one item only) ❑ 2. THIS ES P LAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) 1 BUSINESS NAEVIE (.Sante as Facility r\rmne or• DRB 4) 3 Flyers #487 BUSINESS SITE ADDRESS 103. 983 Moffat Blvd. CITY 104. Manteca 11. 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 by the ecluiprnent inanafacnlrers' instnictions, or annually, whichever is more frequent. Such wort: must be pSEfo pcd by qualified personnel.,123 CCR §2632, 2631, 2635, 2641) 490.31 MONITORING EQUIPNIF.\T IS SERVICED ® 1. ANNUALLY C199" an IER (Specify): 490-3b 111, MONITORING LOCATIONS 4190-4 ❑ 1. NEW SITE PLOT PIAN/MAP SUBMITTED WITH THIS PLAN ® 2. SITE PLOT PLAN/NIAP PREVIOUSLY SUBMITTED (23 CCR §2632.2634) [V. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS; (Check j ® L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) Olt SECONDARY CONTAINMENT VAULT(S) 4915. WITH AUDIBLE AND VISUAL ALARMS. 123 CCR §2632,2634] SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 190-6. PANEL MANUFACTURER: Veeder Root ago-�. MODEL #: TLS -350 490.5. LEAK SENSOR MANUFACTURER: Veeder Root 490-9. MODEL #(S): 0794380-420 4190.10 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO NIONITOR SINGLE WAIL TANis(S).123 CCR §2643) 4190-11 PANES, NIANUFACTURER: 411-12. MODEL #: 490.13. 490"t4. MODEL fl(S): 490-15 IN -TANK PROBE MANUFACTURER: 490-14, LEAK TEST FREQUENCY: ❑ a" CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490'16. ❑ d. MONTHLY ❑ e. OTHER (Speedy): 49047. 490.15. PROGRAMIOED TESTS: ❑ 1.0.1 g.p.h. El b. 0.2 g.p.h. [I c. OTHER (Speclry): 490-19. _- -. --- 490-20. ❑ 3. MONTHLY STA-riSTICAL INVENTORY RECONCILIATION 123 CCR §2646.II 490.21 ---- ..........___._.- _._ ._ b. 60 HOURS 490-21 ❑ 4. WEEKLY LMANUAL TANK GAUGING (MTG)123CCR§2645] TES'T'ING PERIOD: C1 a.36HOURS Elx9 0.22:........_ ❑ 5. TANK INTEGRITY TESTING PER (23 CCR §264311 aso•21. TEST FREQUENCY: ❑ a. ANNUALLY [Ib. BIENNIALLY ®-c. O'fIIER (Specify):- __...__ 49125__ _. _ _ _..__. 49U•26. ❑ 99. OTHER (Specify): 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S� (CheckalJ that a ) ® 1. CONTINUOUS MONITORING OF PIPEIPIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE & VISUAL ALARMS. 4x1 -2s (zs ccR SFCONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM '90.29. §?6361 PANEL A•IAINUI-ACTURF,R: Veeder Root 490-30. MODEL#: TLS -360 490-31. LEAK SENSOR MANUFACTURER: Veoder Root 490.32. MODEL. #(S): 0794380-208 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 19131 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 490-35- ® 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 DFTFCTED. (23 CCR§2636) S 490.35. MLLD A,fANUFAC'I'URER(S): V1porieSS x90.37. MODEL # ('); 99L.D2000 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS. 123 CCR§26361 490"341. F ELLD MANUFACTURER(S); 190-40. MODEL #(S): 190.41 PROGRAMNIFI) IN LINE LEAK TEST: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. 493-42. ELLD DETECTION OF A PIPING LEAKTRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490'43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHU'T'DOWN. ❑ a, YES [:1 b. NO 490.44. . 490.15. ❑ 4. PII'F INTEGRITY TESTING. _ p 190•46. TESTESTFREFREQUENCY:ElE]1 a. ANNUALLY ❑ b. EVERY 3 YEARS c. OTHER S eci�) 190_17__--.... 490-13 ❑ 5. VISUAL PIPE MONITORING. FREQUENCY: ❑ a. DAILY ❑ b. WEEKLY ❑ c. \TN. MONTHLY S F.ACH TI,%IE SYSTEM OPF1tATED" 49049. Allowed for monitoring ofunb cried emergency generator fuel piping only per HSC §2s281.5(bx3} _ _ _ 490.50 ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA. 123 CCR §2636(x)(3}1 - __._._. _- _ �.___._ --_.._...__.-._.___._ �.._.-_ ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6"7 IS CONNECTED TO THE TANK SYSTEM. 490-S1. ❑ 99.0'1'1 IFR (Specify) 49as3. uPCF US -r -D (12/2007) -114 3tiivmunidocs.org