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D ,--a U U L�=LL:� IFIED PROGRAM CONSOLIDATED FdW UNDERGROUND STORAGE TANK 9 MONITORING PLAN - (Pae I of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION ENT HEALT 490-1. PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ICES 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 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 b the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by dualified personnel.[23 CCR.§2632,2634,2638,2641] _........_.......e9.....P. ........................Y............ ........_................................_._ .. ... ................................................ ................................................ 490-3a MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(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 METHODS) aeekall 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: ® 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. 490-9. 490-10. LEAK SENSOR MANUFACTURER: VEEDER-ROOT MODEL#(S): ........................................................................................................................._.._......_._..._._..._........... 1111.... 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl.[z3 CCR§2643] ago 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 ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS eci 490-18. ............................................................................................................................................................................-..._g:P:................................_..._..........................._g:p........................................_..............................................._....._p........_�............ a9o-�s.:..0...... ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] ago-zo. ................................................................................................................................................................................................................................._._............................................_.................................................__..............................................................................................................................................................._.._.............................._..._..._........ ..._._.._ _� .-. . _.... ❑ 4.WEEKLY MANUAL TANK GAUGING MTG (23 CCR§2645] TESTING PERIOD: E] a.36 HOURS [I .........................._490-22:..._...... b.60 HOURS 49an. ......_..__.................. ................_...................................................................................................................................._..----............................................................................................................................................................................. . . . 490-23.5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24. ................................................................._Q...............1..11...1................... ....._p........_fi........... a9o-2s........__. .......... ......................... ----...._.....................__._.._._....__.._....._....................................................._............................................................................. 490-26. ® 99.OTHER(Specify): VISUAL DONE DAILY 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) t all 01.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-21. [23 36] SECONDARY CONTAINMENT IS: a.D Y ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29- §2636] 90-29. §2636] PANEL MANUFACTURER: _A. a90-3o. MODEL#: -Dt11 a90-31. LEAK SENSOR MANUFACTURER: a90-3z. MODEL#(S): 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. [I a.YES [Ib.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-35. _................_..---..__......---...---._..__.............................................................................................................................-1_111-..._.._.......-- ---....._._....._..................................................................................................................._.........................................._..............................._.__....._............__._..__...........---.......... ® 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§2636] 490-37. 490-38. MELD MANUFACTURER(S):FE PETRO MODEL#(S): MLD .......................................................................................................-----1111... _._............... . .............. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§2636] 490-39. ELLD MANUFACTURER(S): 490-40. MODEL#(S): 490-41. PROGRAMMED IN LINE LEAK TEST: Ela.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 FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44. ....................---'--.........................-'--........................................................................................................_.............__................_.......---..._...---.....__........---._..................................................................................................................................................................................................._.._..--......................_............................... _ 4................. ® 4.PIPE INTEGRITY TESTING. 49045, 490-46. TEST FREQUENCY:. . --. ® a.ANNUALLY El b.EVERY 3 YEARS ❑ c.OTHE ............................................................. . .......................... . ......................_............. ® 5.VISUAL PIPE MONITORING. 49048. FREQUENCY: ® a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. _ ........................................_...............................-.--.-..---..._............_....Allowed.for monitoring.of unburied emer&.enc'..generator.fue1..P..!P1D&Rx�y.l�_HSC.§25281.5(bx3)..._........_........... ............ ........._........................................................................................................... ...................................................... ............ .. . 1111... ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)] 490-So. ....................._.........._............................_....._._........................................................__................................................................................................................... _...................._...._.._.._...___....................................-......._....................................................................................................................._...................._..__.._..................._--.....__.... _ ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ........... .............................._.........._........................._......................................._....._._.................._......_....._................................._............................................................._................................................__....................................._...................._.......................................................................................................................I..........................................490-52... ❑ 99.OTHER(Specify) 490-53. 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