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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pae 1 of 2) TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION 490-1 PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4x1.2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) I. FACILITY INFORMATION FAC ILIT D#(Agency Use Only) BUSINESS ME(Same as FACILITY NAME) Valley Pacific Petroleum-Fresno Ave Cardlock 3 BUSINESS SITE DDRESS 1524 Fresno Ave 103 CITY Stockton Iva II.EQUIPMENT TESTING AND PREVENTIVE MAINENANCE Testing,preventive mains ance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak de ors,etc.)must be performed at the frequency specified by the equipment ufacturers'instructions,or annually,whichever is more frequent and that suc work must be performed by qualified personnel. 23 CCR§2632 2634 2638 2 l MONITORING EQUIPMENT[ ERVICED I.ANNUALLY /OTHER OTHER S ecif 40-3b Q ® ❑ (Specify):y): 491-3b III.MONITORING LOCATI S 1.NEW SITE PLOT PLAN/MAP S ITTED WITH THIS PLAN. EN 2.SITE PLOTP N/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4%-4 IV.TANK MONITORING IS PERFORMED USING HE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK NINITORING OF ANNULAR(INTERS TIAL)SPACE(S)OR SECONDARY CONTAINMENT 4x1-5 VAULT(S)WITH AUDIBLE AND VISUAL LARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ® DRY ❑ b.LIQUID FILLED c.PRESSURIZED ❑d.UNDER VACUUM 490-6 PANEL MANUFACTURER: Gilbarco_ 490-7. MODEL#: 0346014-100 _ 490-8 LEAK SENSOR MANUFACTURER: Gilbarco 4911. 1 MODEL#(S): PA002551144M 490-10 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM UO MONITO I E WALL TANK(S).(23 CCR§2643) 490-11 S D T PANEL MANUFACTURER: 49)_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 - - - -------------- 40.18 PROGRAMMED TESTS: ❑ a.0.Ig.P•h. ❑ b P•h. ❑ c.OTHER(Specify): 490-9 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATI N(23 CR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§ 45). TESTING PERIOD: ❑ a.36 HOURS [3b.60 HOURS 490-21 4xi-z2 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: [Ia.ANNUALLY [Ib.BIE ALLY [3c.OT R(Specify): 490-24 490-zs 490-26 (399.OTHER (Specify): „ii-27 V.PIPE MONITORING IS PERFO D USING THE FOL WING METHOD(S)(Check all that apply) I.CONTINUOUS MONITORING OF PIPE/P17PIN AND OTHER SECOND%Y CONTAINMENT WITH AUDIBLE AN D 490-228 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:❑a.DRY b.LIQUID FILLED ❑c.PRESSURIZE ❑d.UNDER VACUUM 490-29 ----------- PANEL MANUFACTURER: 493OI MODEL#: 490-31 LEAK SENSOR MANUFACTURER: 490-3 MODEL#(S): 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE ONITORING SYSTEM TRIGGERS AUTOMATIC PUMP S DOWN. ❑a.YES [3b.NO 490-35 2.MECHANICAL LINE LEAK DE CTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.L TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A L K IS DETECTED 23 CCR 2636 490-36 MLLD MANUFACTUREV): 490-37 MODE #(S): 490-38 ❑ 3.ELECTRONIC LINE LEA DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TE S (23 CCR§2636) 490-39 ELLD MANUFACTUREO) VMI 490-01' 1 MODEL#(s\ LD-2000 490-41 PROGRAMMED IN LI LEAK TEST: [31.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM AN AL 0.1 g.p.h. 490-42 ELLD DETECTION A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49143 ELLD FAILURE/ CONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a. S ❑b.NO 4`x1.44 4.PIPE INTEGR Y TESTING 490-45 TEST FRE U CY a.ANNUALLY b.EVERY 3 YEARS c.OTHER(Specify) 490-46490.47 5.VISUAL7n.o.itoring E MONITORING. 4x1-48 FREQUY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490-49 •Allowed fof unburied emer encu enerator fuel pipingonlv perHSC§25281.5(b)(3 ❑ 6.SUCTIfiN PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)I. 4191-50 7.NOREGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) 490-53 ago-s3 P rU UPCF UST-D(12/2007)1/4