COMPLIANCE INFO_2011-2013 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-LpaLe 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 49°-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( )i I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 3. BUSINESS NAME(Same as FACILITY NAME) Flying J Travel Plaza-#617 BUSINESS SITE ADDRESS 15237 N. Thornton Rd 103 CITY Lodi '"` M 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 equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR§2632 4,26382641) - ------------------------------------- -- ---- --- --- _----- - - -- -- MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490.3b Q ( P �)• 490.36 M.MONITORING LOCATIONS ®1.NEW SITE PLOT PLAN~SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 W.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 VAULT(S)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 -- 490 7. I MODEL_#:_TLS-350 490,0, LEAK SENSOR MANUFACTURER: Veeder Root 440-9. MODEL#(S): 794380-303 490.10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 190-12• MODEL#: 490-13 IN-TANK PROBE MANUFACTURER: 490.14. MODEL#(S): 490.19 - --_ -- -- _ -- -- - -- --- - - ----- -- ------------------------- LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYMIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY ❑ e.OTHER(Specify): - 490-17 ------- - - - - ---- -- -- ---_-- - --- __-_ - - - _ - - -.. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify):fpy� 490-19 g.p.h. g•P• P V): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: F1 a.36 HOURS [Ib.60 HOURS 490-21 F15.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: El a.ANNUALLY b.BIENNIALLY El c.OTHER(Specify): 490-24 490.25 ❑ 99.OTHER (Specify):VISUAL DONE DAILY 490-26 490-0,7 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S):(Check all that apply) ®1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490,29 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:®a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED [1d.UNDER VACUUM 49°-21 490-31 490-30 PANEL MANUFACTURER: Veeder Root MODEL#: TLS-350 490.32 490.33 LEAK SENSOR MANUFACTURER: Veeder Root MODEL#(S)_794380-322 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ®a.YES ❑b.NO 490.74 FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO 490-35 ® 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED CCR_§2636Z....--______--490.37 490-36 MLLD MANUFACTURER(S): FE PETRO MODEL.#(S): MLD 490-38 ❑ 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): 49°41 ---------------_ ---_ __-_ _ -- ------- -- - --- - ---- -------- - PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. E]a.YES Elb.NO 49044 ® 4.PIPE INTEGRITY TESTING 49045 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify)N/A D/Tpos.shutdOWn 49046 49047 5.VISUAL PIPE MONITORING. 490.43 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490.49 °Allowed for moritoring monitoringof unburied mergency geamtor fuel piping only per HSC§25291.5 ❑ 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 490-51 490-sz t ❑ 99.OTHER(Specify) 4 UPCF UST-D(12/2007)