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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN - Pae I of 2 TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION 4NM PLAN"TYPE ® I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4001 (C'heck one oe only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S). I. FACILITY INFORMATION FACILITY ID N(Agncy Use 0n1y) _1 1 , 4 8 0 1 BUSINESS NAME(Some as Facility Name or DBA) USAfTesoro 68222 1 BUSINESS SITE ADDRESS 1n4 2132 Mariposa Rd. crfv Stockton m II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE I csting,preventive maintenance,and calibration of morI tming equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the fregnency specified by the equipment manufacturers'iruh eco!,or annually,.whichever.is morcfre uenE Such work must be anted by_quslified_personM z eco 4zazz_mz4.wti zap_ MONITORING EQUIPMENT IS SERVICED ® I.ANNUALLY ❑ 99.OTHER(Specify): 4a490.o.3e HI. MONITORING LOCATIONS ❑ I.NI\Y�I I P PI 01 PI \N'%IAP SUBMITTED WITH THIS PLAN ® 2.SPIT PLOT PLAN/MAP PREVIOUSLY SUBMITTED PI O-R 42642.M141 i00.4 1�. I AN K MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "" ' that apply) I.CON ITNUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULTS) 4-5 WITH AUDIBLE AND VISUAL ALARMS.In c R 1x012,2614) SECONDARY CONTAINMENT IS: ® &DRY ❑ b.LIQUID FILLED ® c.PRESSURIZED ❑ d.UNDER VACUUM 4968 PANEL MANUFACTURER. Veeder Root 490.1 MODEL N: TLS350 490° LEAK SENSOR MANUFACTURER: , i90.9 MODEL N(S): LS-3(87.91D).794390- 4WI0 - . ----- 420(89) 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(SI.In ca 126411 4W11 PANEL MANUFACTURER: 490.12 MODEL N: 44011 fN-TANK PROBE MANUFACTURER: 490.14 MODEL N(S): 4WI1 LEAK TEST FREQUENCY: ❑ &CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 40°16 ❑ d.MONTHLY ❑ e-OT14ER(Specify): 490.1i PROGRAMMED TESTS ❑ &0.1 h. ❑ b.02 h ❑ c.OTHERS 4901° ._ .. &p ...-. gF Pmt_ _49p.i9 ❑ 3.MONTHLY STATISTICAL INV17NTORY RECONCILIATION In CCRc_N,q 49020 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTT3)la cm 10411 TESTING PERIOD ❑ a.36 HOURS ❑ 6.60 HOURS 49021 4ao-n --_ 460.1. ❑ S.TANK INTEGRITY TESTING PER Inca lzal.t7 TEST FREQUENCY: [3a.ANNUALLY C3b.BIENNIALLY [3c.OTHER ISp49024 ecit}Y. 40025 ❑ 99.OTHER(Specify): 406-' V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) iCtlA"kaff ® 1.CONTINUOUS MONITORING OF PIPETIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH At:'DIBLF&VISUAL ALARMS. i002H Iv tts SECONDARY CONTAINMENT IS. ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d UNDER VACUUM 40020 4w161 PANEL MANUFACTURER:Veedef Root 490.30 MODEL N: TL$350 won LEAK SENSOR MANUFACTURER: Veader Root {90.32 MODEL NIS): 794380-209 495431 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. M a.YES ❑ Is.NO 40014 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 4sals 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 40046 PRODUCT FLOW WHEN A LEAK IS DETECTED.Iv cc #mm MELD MANUFACTURER(S):Red Jacket.Wooden 440.17 MODEL N(S): 115.055-5.1.1012000(0) 40029 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 gP It.LEAK TESTS.145 ra1cm01 490.5° ELLD MANUFACTURER(S): 49 MODEL NIS): 49°'41 PROGRAMMED IN LINE LEAK TEST: ❑ &MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 400'42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ &YES ❑ It.NO 413 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN._ _ _ ❑ &YES ❑ It.NO 490'44 ❑ 4.PIPE INTEGRITY TESTING. 49049 TESTFREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER( ctfy). 49w49o-4e_ ❑ S.VISUAL PIPE MONITORING. 4sau FREQUENCY: ❑ &DAILY ❑ b,WEEKLY ❑ C MIN MOMIILY&EACH TIME SYSTEM OPERATED' 4� •NbwNf mon lonng Wunpu,N enK�gency gma.nae N.i pip,ng only pa HSC 11L1. ) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.in ca 106IMRasd 49050. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CON NFC TO THF TANK SYSTEM. 490°1. - _49o-s2 ❑ 99.Ol7HER (Specify) S i ) UPCF UST-D(12/2111 -IA www.anidocs.org