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IED PROGRAM CONSOLIDATED FO ( �p� UNDERGROUND STORAGE TANK MONITORING PLAN - (Pae 1 of 2) 490-1. TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 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): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 3. BUSINESS NAME(Same as Facility Name or DBA) My Mini Malt BUSINESS SITE ADDRESS 103. CITY 1756 N. Wilson Way Stockton 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 by the equipment manufacturers'instructions or annually,whichever is more frequent Such work must be performed by qualified ep rsonnet.[T3 cca§2632,2634,2638,2"11 490-3e. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 49836. III. MONITORING LOCATIONS 490<. ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ® 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) n lak(Il ® 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 [:1c.PRESSURIZED El d.UNDER VACUUM 490'6 PANEL MANUFACTURER: INCON 490-1. MODEL#: TS-1007 490-8. LEAK SENSOR MANUFACTURER: TSP 490-9 MODEL#(S): STD-101, EIS 49M0. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 49041' PANEL MANUFACTURER: 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-u. MODEL#(S): 490.15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 49M6. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-I1. 490-18. PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19_ 490.20. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 -------k90_ ❑64.WEEKLY MANUAL TANK GAUGING(MT G)[23 CCR§26457 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS -T1 490 2T. 490-T3. 5.TANK INTEGRITY TESTING PER[Zl CCR§2643.11 490-24. _ TEST FREQUENCY: p�NNUALLY ❑ b.BIENNIALLY ❑ c.OTI-IER(Specify): 490-25. 490-26. ❑ 99.OTHER(Specify): - 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) hatap an - tara l ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490"28. I"cc' SECONDARY CONTAINMENT IS: Z a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §26361 PANEL MANUFACTURER:INCON 490-30. MODEL#: TS-1001 490-31. LEAK SENSOR MANUFACTURER: TSP 490-3z. MODEL#(S): ULS 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e,TURBINE)SHUTDOWN. E a.YES ❑ b.NO 49034. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 49035. 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. PRODUCT FLOW WHEN A LEAK IS DET>: ' §2676 q( �aCf'--� 8�2 rot6rrQ MLLD MANUFACTURER(S): /hi[�T IV K- ry ��SE� 49837' MODEL#(S): FX-1V '-1� 2XO9o-38. [1 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELLY PERFORMS 3.0 g.p.h.LEAK TESTS.in CCR§2636] 490.39. ELLD MANUFACTURER(S): 49040. MODEL 4(S): 490.41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 gF.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑ a.YES ❑ b.NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44. 49045. ❑ 4.PIPE INTEGRITY TESTING. TEST FREQUENCY: E] a.ANNUALLY ❑ b.EVERY 3 YEARS [I c.OTHER(S ecify), 490.46 ❑ 5.VISUAL PIPE MONITORING. I� 4904e. 4 FREQUENCY: E] a.DAILY [Ib.WEEKLY ❑ C.MIN.MOiTDB.Y&EAC[3TIME SYSTEhPOPERA"iED• 490 9. _•Allowed for monitoring ofunburied emugcnCy generetuPoeliP ping only Dw HSC§25281.5@)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(.)(3)7 4�0-s0. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. 490- ❑ 99.OTHER(Specify) _sr.:.:- !r_,.-_>.:-: 490.53. UPCF UST-D(12/2007)-1/4 www.un]docs.org