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1 IFIED PROGRAM CONSOLIDATED FWd UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 49x1. 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. FACILITYINFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(same as Facility Name or DBA) FLYING J TRAVEL PLAZA 3. BUSINESS SITE ADDRESS 15237 THORNTON ROAD 103 CITY LODI 104 II: 'EQUIPMENT;TESTING AND,PREV.GN'TTUE AIIT'TETA1E 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 equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed b ualified eCSOI111el.[23 CCR§2632,2634,2638,26411 ...........................__........_......._..............................p....................................y..9........................p........................................................._.................. .._.... ---.... MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY El 99. S eci 490-3a. ( p fY)� 490-3b. IiI .IYIONITORLNG,L®CA1'I®NS". ., ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 490-4. {tyheckal�° IV TANK,MONITO G IS PERFORMD USING THE FOLLO G 1,IETHOD(S) ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: Z a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: VEEDER-ROOT/OMNTEC 490-7. MODEL#: TLS-350/800011 490-8. LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490-9. MODEL#(s): 303 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl.[23 CCR§26431 ago-1 t. 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. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify) 49418. ................................................................._......__............_.....-_.............................----...._...-........................_g P........................................................................_g.p..........................................----..._..._._.._.................._(.._p.....I.._f?......... ........_a9a�9:........... ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 490-20. ................._............................................................_.........__.._._........_.........__.._.-..._.............._._.........................................................................................................................................._....-................................................. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21. ..............................._._.........................................................................----._.................---_.._..........-------.......---..............._._.._....._.................................................................................................................. 490-22. .. ........................................................._.._......................................................__........_.__..............._............................._................................... ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER S eci 490-24. .................._...__.._.._......................................Q............._.................................................................................__...................-_. ........._..._.._.............._................................................_�..._p........_ �.'..... ........490-25.:..__...... ( P fy) ......_............._.._.............................................. 490.27. ® 99.OTHER s eci VISUAL DONE DAILY 49426. v , V. ;PIPE MO O Gy}PE ±ORMCD I7SING : . TOLLO G M ' 'HO ► 5 is ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-21• [23 CCR SECONDARYCONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED El c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §26361 PANEL MANUFACTURER:VEEDER-ROOT/OMNTEC 490-30. MODEL#: TLS-350/800011 490-31. LEAK SENSOR MANUFACTURER: VEEDER-ROOT 490-32. MODEL#(S): 322 490-33. 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. ................... ............_._..._........._....._._...._._..__...-------......._............................................._._............................................................................._..........-._........__._......------ ......................................---...................................._................................................._....._........_............---....__490-36.'- ® .MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 MLLD MANUFACTURERS FE PETRO 490-37. MODEL#(S): 490-38. ........................................................................................_._....._.........__...._..............._�....> --.........__........_._�s>_ MLD .......................... ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 490-39. ELLD MANUFACTURER(S): 490-40. MODEL#(S): 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. ❑ a.YES ❑ b.NO 490.43. ELLD FAILURFJDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44. ..............................................................................._.................__..._.................._........._..._..._................._...............................................................................................................................................................................-.._..... ... .. ® 4.PIPE INTEGRITY TESTING. 490-45. TEST FRE UENCY 447. 90-46. ..................................._Q.._........_.................._._........................._._❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ® c.OTHER(Specify) N/A DIT OS.shutdown.....a9o-47:.........._ ❑ 5.VISUAL PIPE MONITORING. 490-41. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49• .......................................................................................................................................................................................................... 'Allowed for monito' of unburied emer enc enerator fuel in only HSC§25281.5(bM3) _._.._._.-._. _...................._........................'.°..............................._............&......._Y...B.................................P�P...........-_.P .................................._................-.............. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)1 490-50. ............................_....._....._..._.__._...........__......................_._........................_....._.................................... ._.. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. .........._......._.........._....._....._..__......._....................._...._._.............._..........................._....... El99.OTHER(Specify) ....................... 90 -52. 490-53. UPCF UST-D(12/2007)-1/4 www.unidocs.org