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0 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Pap 1 aft) TYPE OF ACTION ❑1.NEW PLAN ® 2.CHANGE OF INFORMATION 190-1 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(S) ILTFY INFORMATION _ CILITY ID N(Agency Use Only) JGW I I _. _ L-L= BUS SS NAME(Same as FACILITY NAME)Valley PaeHSc Petroleum Cafdlock BUSINES'919ITE ADDRESS 3550 S. Hwy 99 10' CITY Stockton X94 ff.EQUIMENTTESTING,AND PREVENTPVE ENANCE Tes[ing,preventive 'ntenance,and celibmtion of monitoring equipment(e.g.,sensors,probes,line 1 detectors,etc.)must be performed at the frequency specified by Ole equip [manufacturers'instructions,or annually,whichever is more frequent,and dud such work most be performed by qualified personnel C( 26 23 C22634,263 ,2641) MONITORING EQUIPMF.IVT'IS SERVICED 1.ANNUALLY C199.0'1TIEA(Specify). 9n3a 49o3b 11I.'MONITORING LOC ONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49n-5 IV.TANK NWffORING IS PERFORMED U G THE FOLLOWING METHOD(S): I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT r10-5 VAULT(S)WITH AUDIBLE AND VI AL ALARMS. (23 CCR§2632,2 4) .. SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FI ED IS--:PRESSURIZED [jd.UNDER VACUUM 4909 PANEL MANUFACTURER: 4saz MODEL ___. . _- 1906 ----- LEAK SENSOR MANUFACTURER: Vee rRSwt 490.9' MODEL N(S):420 -4 10 2.AUTOMATIC TANK GAUGING(ATG)SYSTE SED TO MOIIUTOR SINGLE WALL TNK(5).(23 CCR 42643) 4 11 PANEL MANUFACTURER: 49x12. MODEL M: 490'13 IN-TANK PROBE MANUFACTURER: 490M114' MODEL N(S): 19x19 LEAK TEST FREQUENCY: ❑ &CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490'16 ❑ d MONTHLY ❑ e.OTHERS 3 eso-u PROGRAMMED TESTS: ❑ a 0.l h. ❑ b. c.OTHERS 490.16 g.p.h. g.p.h. ❑ (Specify): 49x19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECON IATION( CR 426461): 490.30 E] 4.WEEKLY MANUAL TANK GAUGING(MTG)( CCR 42643). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 490x1 Lj 490.22 5.TANK IN77SGR11'Y TESTING(23 CCR§2643.1 4s2_3 TEST FREQUENCY: ❑ &ANNUALLY ❑ b BIENNIALLY ❑ c.O R(Specify): 490.24 490.25 El 99,OTHER (Specify): ^90-2 49 2 6 V.PIPE MONITORING IS POFORMED`USING THE FO OWING METHOD(S)(Check all.that apply) L CONTINUOUS MONITORING OF PIP' PIPING SUMP(S)AND OTHER SECON Y CONrA1NMENT WITH AUDIBLE AND 49o-26 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED ❑c.PRESSURIZ ❑d.UNDER VACUUM a9W9 PANEL MANUFACTURER V e Root30 MODEL B: LEAK SENSOR MANUFACTURER Veeder Root 4 2 MODEL#(s): 208 4 33 PIPING LEAK ALARM TRIGGE AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. M a.YES ❑b.NO 490,44 FAILUREMISCONNECTION O THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMPS WN. ®a.YES ❑b.NO 490x5 2.MECHANICAL LINE LE DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.L TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN LEAK IS DETECT ED 123-CCR02636� 49o.M MLLD MANUFAC ER(s): FE PetrolRed Jacket 490." MOD N(S): STP-MLDIFX4V 490.39 ❑ 3.ELECTRONIC LIVE IAAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TVIS (23 CCR§2636) 49x-39 ELLD MANUFA R(S) _ 490-10' MODELA 4 11 PROGRAMMED IN INE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM A UAL 0.1 g.p.h. °90'42 ELLD DETE'TIO OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ YES ❑b.NO 390-11 ELLD FARU ISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a. S ❑b.NO 690'10 4.PEPE INTEG TESTING 19w5 TEST FREQ CY C3 &ANNUALLY b.EVERY YEARS c.OTHER(Specify) 490 4e 49oa� S.VISUALP MONITORING. 49x46 FREQUEN Y ❑ a.DAILY [Ib.WEEKLY C]C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49 9 •Alloxad kr m' of wbwiede 4nfid HSC 25261.5 I ❑ 6.SUCTI PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)). 490-50 Lj 7.NO ULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE T K SYSTEM 190.51 . ( 490-52 [:] 99OTHERS 12a2h') 490.53 UPCF UST-D(12/2007)1/4