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UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN-(Pae I of 2) <br /> TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION <br /> PLAN TYPE ® I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S3 <br /> 1. FACILITY INFORMATION <br /> FACILITY ID#(Agencv Use Only) I <br /> BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California UE058/TRACCA I 1 3 <br /> BUSINESS SITE ADDRESS 10 E. 12TH STREET 10J CITY TRACY 104. <br /> H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE __ <br /> 'resting,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the freiluency <br /> specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. <br /> L3CCR X2632,2634_2638,26412 _ - - --------------------------------------------------------------------------------------------------- <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490.34 <br /> _ 490-36 <br /> M.MONITORING LOCATIONS <br /> ®1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED, (23 CCR§2632, <br /> 2634)490-3 <br /> IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT iJ440-5 <br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) <br /> SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4906 <br /> ------"-"-------•----------"----"----"-------------------• ----------------•-- - - - --- - --- - ---" - --- - _ ---------•---•- <br /> PANEL MANUFACTURER: VEEDER ROOT 490"7 1 MODEL#: TLS-350 X90.8 <br /> - ---------._- -_-____----------------- ---__ -- --------_--------- __-•-------- <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490.9, -MODEL#(S): 794390420 491"10 <br /> 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TAN .S)_(23 CCR§2643) 490.11 <br /> PANEL MANUFACTURER: 490.12. MODEL.#: 49au <br /> ----------- --"----------------------- - -- - ------_-------- -- - - -----------------•---------------_.-------- -------•-------------- <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 /> -- ---- -------- --_-__------------- - -- --------- -- - --- --- -- ------ -- ---- - -_ _- - --- -- <br /> 49(1 18 <br /> PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490.19 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTC)(23 CCR§2645). TESTING PERIOD: E] a.36 HOURS ❑ b.60 HOURS 490-21 <br /> 490"z2 <br /> 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 <br /> TEST FREQUENCY: [1a.ANNUALLY ❑ b.BIENNIALLY 171e.OTHER(Specify): 490.24 <br /> J90.25 <br /> ❑99.OTHER (Specify): 490-26490-27 <br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) <br /> ® I.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 <br /> VISUAL ALARMS. (23 CCR§2636) <br /> SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED [3c.PRESSURIZED ❑d.UNDER VACUUM 490-29 <br /> PANEL MANUFACTURER:Veeder Root 490"30 L MODEL# TLS 350 _ - 490-31 <br /> - - --•------- --- -------------- -- _ - - - ----- ------ - <br /> --- -----L --- - _.._... -- <br /> LEAK SENSOR MANUFACTURER: Veeder Root 490-32 MODEL#(S) 794---208 490.33 <br /> PIPING LEAK At-ARM 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 PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED 2( 3 CCR§2636) _ 4%-36 <br /> MLLD MANUFACTURER(S): 490.37 MODEL#(S): 490-38 <br /> ❑ 3.ELECTRONIC LINE LEAK DET'ECT'OR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 <br /> ----------•----------------------------------------"------------- --- -- _ - - - - --- ------------------ - <br /> ELLD MANU_FACTURER(S) 490-40 MODEL#(S): 490-41 <br /> PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2&p K ❑ 2.MINIMUM ANNUAL.0.1 g.p.h. 49(1-42 <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YF.S ❑b.NO 490-43 <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490"44 <br /> 4,PIPE INTEGRITY TESTING 490.4. <br /> TEST FRE UENCY El a.ANNUALLY b.EVERY 3 YEARS c.OTHER(Specify) 490-46490-47 <br /> El 5.VISUAL PIPE MONITORING. 490.48 <br /> FREQUENCY ❑ a.DAILY ❑ K WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" 49049 <br /> -.Allowed for nwniwrin of unbuned emer enc generator Fuel piping only r HS('§25281.5(6)(3 <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 <br /> 7 NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM <br /> 490-51 <br /> 490.52 <br /> ❑ 99.OTHER(Specify) 490-13 <br />