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JFIED PROGRAM CONSOLIDATED F7 I UNDERGROUND STORAGE TANK MAR 0 9 nog MONIT®RING PLAN-Zale I of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION N T HEAL 490-1. PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ES 490-2. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1' BUSINESS NAME(Same as Facility Name or DBA) 3. Flying J. Travel Plaza BUSINESS SITE ADDRESS 15237 THORNTON ROAD 103. 1 CITY LODI 104. II. EQUIPMENT TESTING PREVENTIVE MAINTE+NANCE Testing,preventive maintenance,and calibration of monitoringequipment(e. .,sensors,probes,line leak detectors,etc. must be performed at the u ey ' g ) perf frequency specified by the ecurLment manufacturers'insteuctions,or annually,whichever is more frequent.Such work must.be Perk nned_by.gnalifiedper5onnel_[z3 ccR 82632,2630-,2638,26411 MONITORING EQUIPMENT IS SERVICED ® 1 ANNUALLY [1fY) 99.OTHER S eci 490-30-. ( P � 490-3b. III MONITORING LOCATIONS ❑ 1 NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PIAT PLAN/MAP PREVIOUSLY SUBMITTED (23 CCR§2632,26341 490-4• IV. TANK M[ONrrORING IS PERFORMED USING THE FOLLO GTOD S ( ) k I 1 CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 4945. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS. ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 4946. PANEL MANUFACTURER. VEEDER-ROOT/OMNTEC 491-7. MODEL#: TLS-350/800011 00-8. 490-9. 490-10. LEAK SENSOR MANUFACTURER. VEEDER-ROOT MODEL#(s): ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED To MONITOR SINGLE WALL TANK(S).(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' 0-90.18. PROGRAMMED TESTS: ❑ a.0.1 g.p.h .___._.__.® b.0.2 g.p.h. ❑ c.OTHER(Specify):. 49499._._.._... _. -.._._........._.___..........._.......___.......___......__....._.-_.._._....._...._...__......._..._.___ _ __.._....____........._.__.___.........__._.._.._.._...........__......____.........___..........._.._. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 490-20. --..__.._._..._._.._._.---- ---..._..._-._........._.........................._.._..-..._..._.._......,.-_--.._.__.............._ _........- _.._._.._.. __......_..----.........__.._........................._... ...._..........._..__................__............ _._._........... -._... -_.._.._. ❑ 4.WEEKLY MANUAL TANK GAUGING MTG [23 CCR§2645 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS490-n.49x21' ( ) 1 _....... ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490.23' TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify). 490 20-. _...._._........__._..._...._ ( P fy): 4'w,2s _..... _ _._....._._........._--..___.__._`.-'_'_---.__.._...._._..._.___......___....._____.._.__. ____-__....__.__._ ___...____...._.__.....___.....___..._. 49026. ® 99 OTHER(Specify): VISUAL DONE DAILY ago-z7 _ ( . k aft V. PIPE MONMAING IS PERFORMED USING THE FOLLOWING GMETHOD(S) tw Ppw 1 CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-20-. [§2635] SECONDARY CONTAINMENT IS: a DY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 491.29. 1 An PANEL MANUFACTURER: 490"3°. MODEL IP 490-39 LEAK SENSOR MANUFACTURER. 490"32. MODEL#(S): 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑ a.YES ❑ b.NO 491.34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49435. Z.IVIECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 49436. PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26367 MLLDMANUFACTURER(s):FE PETRO 49x37. MODEL#(S)_ MLD 490-38' .........._..._........_._..__._..-.._....-... _._.__...... _.... ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p h.LEAK TESTS.[23 CCR§26361 49439. 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 490-4- ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 4 • .... ._._.......-__._____.__........._--.....-- _ - _._.._.......-- ._._..._._.........__................._......_.._....._....__............._....... _-----...........--_--_..._.. ...... ............._._......... -.._..... .............._.._._._.............__.........._.............__........... ® 4.PIPE INTEGRITY TESTING. TEST FREQUENCY: ® a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ OTHER(specify) 4940-6. __..._.....-_-_........._.._--....... __... ................__...............__....._.........._.._....__..................._._........._._._....._._._........... -.... - -------._.......__°_..........................._.._............................_ ( P ) -4944,_..._... ® S.VISUAL PIPE MONITORING. 490-48. FREQUENCY. ® a.DAILY ❑ b.WEEKLY ❑ C.MRN.MONTHLY&EACH TIME SYSTEM OPERATED* 490.49. *Allowed for namtorin§of unburied ema�erw�r&tnaator fuel��m.&_ool r NSC 2s281.5.(bK3).-.__.__...._ .____........_._ ..-._.____........___..........._.._....._......._._................._......----._....___-_..........____.........______._...__._-____._.._..........____..._-__.__.____.__.........-_ .........._...._........__..........___......___.._..-_._.._.. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(ax3)) 490-50. __._ .._._............---._.....__..._... _...- _ _-.........._.._.........-__.......___......_......._....._.._._..........._._...__...................----......_........-...........-_..........._m..._.... _ .-__.....................__..._.................._........._.._.........._..__..................-__...•.---_.. ❑ 7 NO REGULATED FIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 0-9451. __._._._...-_.....................__..._....__......_._._.._...__._.._....__-.__.___...._.._._...----.._._._.._._....._. _.._..._..._.._._............._...._._._......_._........................__...........--__....-.__..._....____..... _.. ....._._......-- ........__ ._.._.................490-52.... -❑ 99.OTHER(Specify) 490-53. 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