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FIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Page 1 of 2) <br /> FTYPEOVON ® 1.NEW PLAN [:12.CHANGE OF INFORMATION 490-1. <br /> PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-1 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1. <br /> BUSINESS NAME(Same as Facility Name or DBA) 3. <br /> Chevron Station#208117 <br /> BUSINESS SITE ADDRESS 755 S. Tracy Blvd 1103. 1 CITY Tracy , CA 95376 104. <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 /> b the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,.2638,26411 <br /> Y ......................... ........................._._._............ ......_...._.........._.........-- ---................................... .. <br /> MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY El99.OTHER 490-3a. <br /> (SpecifyfA�•7)� 490-36. <br /> III. MONITORING LOCATIONS <br /> ❑ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 490-4. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> that ck apply)11 <br /> ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. <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 490-1. MODEL#: TLS-350 490-8. <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 990 MODEL#(S): Liquid Sensor Series 794380-407 490-10. <br /> . ..... <br /> .......-- ......................._........__.............._...._...........................................................................................................................................----............_........................._.._....._......_........._....._............... <br /> ❑ 2.AUTOMATIC 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 Lj c.WEEKLY 490-16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS eci 490-18. <br /> g.p.h. g.p.h. (Specify): 490-19. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20. <br /> ..................................................................................................................._.............._..........__........................................._..........__............................................................................................................................__......_............................._............_........_........__.._........................................................................................................................ <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING MTG [23 CCR§2645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ago. <br /> ..................................----.........._........_.........................-.................................................................................................................................................._.........-......._.....................................__.........._.._.__...............................................................................................490-22:............. <br /> ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY [I c.OTHER(Specify): 490-24. <br /> a2o-2s:............. <br /> ❑ 99.OTHER(Specify): 490-26. <br /> ago-27. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) ackall <br /> ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAIN NT WITH AUDIBLE&VISUAL ALARMS. 490-28. <br /> [23 CCRSECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ® c.F IZED ❑ d.UNDER VACUUM 490-29. <br /> §2636] <br /> PANEL MANUFACTURER:Veeder-Root 490-30. DEL#: TLS-350 490-31. <br /> LEAK SENSOR MANUFACTURER: Veeder-Root 490-32. MODEL#(S): -208 490-33. <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 El b.NO 490-35. <br /> ❑ 2.MECHANICAL LL (MEL <br /> INE EAK DETECTOR D)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 <br /> MLLD MANUFACTURER(S): 490-3z MODEL#(S): 490-38. <br /> --- <br /> _..-......_......_. ................... ... <br /> .................. ... <br /> ..................... .... <br /> .... .... <br /> .......... <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 Series 84 490-41. <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. E a.YES ❑ b.NO 490-44. <br /> ...... ..........................................................................................................................__._.._.......__......_...................................__...._......................._...................................................................................................................._.._....._......._...........................-_..__......._........._..._.....................................__........................................................................... <br /> ❑ 4.PIPE INTEGRITY TESTING. 490.45. <br /> 46. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERago. <br /> (Specify) 490-47. <br /> ..........................................................._...........................................---...............__........_._...-........._........................._......................................................................................................................................................._........---........................ <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48. <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. <br /> ......... . . ....................... . ........................................................................................................................!.. <br /> Allowed for monitotin�of unburied emer&enc_y_generatorfuelpiping,only. er.HSC.,,§25281.:5.(b)(3).............._.......... <br /> ..............._._............. _._........_.....-. ............_. ........ ......__._. <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(x)(3)] 490-50. <br /> ................................................_.................................._-----........................_.......__............__._......-......._................................................................................._...........................................................__............_........__......._.._..................__....................__............................................................................................................................ <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 /> ago-sz. <br /> El99.OTHER(Specify) <br /> 490-53. <br />