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FIED PROGRAM CONSOLIDATED F UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION N 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): L FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 BUSINESS NAME(Same as Facility Name or DBA) 3, Chevron Station#201383 BUSINESS SITE ADDRESS 1960 W 11 th St. 103. CITY Tracy, CA 95000 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 by the eq ui ment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,2638,2641] --.._._... .....I?............- -..............._................... , ...............................................__........................................ -......-----...._......._.2........................ ......... .. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY Elecify (99.OTHER S 490-3a. Q (Specify):)' 490-3b. III. 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. IV.''TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) hatea k 1) ® 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: N 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 990- MODEL#(S): Liquid Sensor Series 794380409 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11' 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 Lj c.WEEf Y 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): agoa8. g•P• g•P• ( P V) 0.90-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20. ................................_.._......_.......-................................................................................................._..................................__.....................----'--._.............................-....................._._.. ........._........................................................._........................._.............................................................-__................--_._._._._........................._. 490-21. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§2645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22., ........................................-.................................._......._.........__............................_.__._..........................._............................................................................................_._.......... -.....-.........-....._.........................................................................................................................................................._.....-_...._'---................ .......-_ ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER( PeciS ago-z0.. fT') 4.. .................................................................................................................................................................................................................................................................................................................................................................................................... ........................................ ❑ 99.OTHER(Specify): 49ago-26. 0-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Checkall that ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 CCRSECONDARY CONTAINMENT IS: N a.DRY El b.LIQUID FILLED N c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §2636] PANEL MANUFACTURER:Veeder-Root 490-30. MODEL#: TLS-350 490-31. LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL#(S): Liquid Sensor Series 794380-208 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. N a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a.YES ❑ b.NO 490-35. -._....-......................................................................................................................_.._.-._.........._....._..---...._.......__...-...�_.._.......-'_f.._.........................................................................................._....................................-.................-_......_...................................._....................................................._.._........ ❑ 2.MECHANICAL LINE LEAK DETECTOR(MELD)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§26361 MLLD MANUFACTURER(S): 490-37. MODEL#(S): 490-38. ........................_......__...._....._...........................__............................................. .._.._...._......................_......_.._..................... N 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 ccR§2636] 490-39. ELLD MANUFACTURER(S):Veeder-Root 491-41. MODEL#(S):PLLD Series 848480-003 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a.YES ❑ b.NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. N a.YES ❑ b.NO 491-44. .........................................................................-'---.......__.._.........................................................................................................................................._........_...................__.............................................................................................................-.........._...._._...._.......................... ❑ 4.PIPE INTEGRITY TESTING. 490-45. TEST FREQUENCY: ❑ a.ANNUALLY Elb.EVERY 3 YEARS Elc.OTHER(Specify) 4944907. ........._...__................................................_...._......................._...._..._...._.._...........................__..........................................._....._.._.................................._.........._.......-- ❑ 5.VISUAL PIPE MONITORING. a9o48. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. ........ ............_.......................................................................................--....................-_..........................._...._........................................._........................ *Allowed.for,mo..... ng.ofunburiedemergencygeneratorfuelpi np�nlyp ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)] 490-50. .................-...._......................................................................_............................................................................._..............................................................._.............._...__..__...._................._._............_.......__........_.........................................................................................__............._.._......_._._..........................................._...-'-'--...._................_......... ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ....................................................................................................................._........._..........................................._.._....................................................................................................................._....._-...._.-._._.............................................................................................................................................................................................................................. ago-sz. El99.OTHER(Specify) 490-53.