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*J~ UNDERGROA STORAGE TANK MOAORING PLAN IN For use by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited: Title 23 CCR, Sections 2632(d)(1), 2634(d)(2), and 2641(h) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION Mol. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Moe. (Check one item only) ® THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): l ) Unleaded R (1) Diesel I. FACILITY INFORMATION FACILITY ID#(Agen Use Only) FACILITY NAME StoC On Service Center Moa. FACILITY SITE ADDRESS 40 West Lane M00 C Stockton M05. 11. QUIPMENT TESTING AND PREVENTIV MAINTENANCE State law requires that testing,prevent a maintenance,and calibration of monitoring equipment(e.g.,Yfisors,probes,line leak detectors,etc.)be performed in M06. accordance with the equipment manufactrs'instructions,or annually,whichever is more frequent. uch work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVIC ® 1.ANNUALLY ❑ 99.OTHER(Specify): MOT III. MONITORING LQCATIONS This monitoring plan must include a Site Plan sI Ing the general tank and piping layouts d the locations where monitoring is performed(i.e.,location of each sensor, line leak detector,monitoring system control panel, tc.). If you already have a diagram .g.,current UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map,etc.)ftich shows all required informatiplin,include it with this plan. IV. TANK NITORING MONITORING IS PERFORMED USING THE FOLLO G METHOD(S):(C ck all that apply) MM ® L CONTINUOUS ELECTRONIC MONITORING OFNK ANNULA INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ® a.DR ❑ b. QUID FILLED ❑ c.UNDER PRESSURE ❑ it.UNDER VACUUM Mr, PANEL MANUFACTURER: VeederROOt M12, MODEL#: 350 M13, LEAK SENSOR MANUFACTURER: VeederRoot M1° MODEL#(S): 794390-420 Mls. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USEDT ONITOR SINGLE WALL TANKS) PANEL MANUFACTURER: M16. MODEL#: MIT IN-TANK PROBE MANUFACTURER: MIS MODEL#(S): M19, LEAK TEST FREQUENCY: ❑ a.CONTINUO S ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. ❑ d.MONTHL ❑ e.OTHER(Specify): M21. PROGRAMMED TESTS: ❑ a.0.1 g.p.h ❑ b.0.2 g. .h. ❑ c.OTHER(Specify): Mzz. Mz3, ❑ 3.INVENTORY RECONCILIATION ❑ a.MANU L PER 23 CCR§2646 ❑ b.STATISTICAL PER 23 CCR§2646.1 Mx°. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG) ER 23 CCR§2645 TESTING PERIOD: ❑ a.36 OURS ❑ b.60 HOURS M25. ❑ 5.INTEGRITY TESTING PER 23 CCR§2643. TEST FREQUENCY: ❑ a. NNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): Mee. Mn. ❑ 6.VISUAL MONITORING DONE: ❑ DAILY ❑ b.WEEKLY(Requires eneyapprovap ❑ 99.OTHER(Specify): M28. V. PIPE MONITORING MONITORING IS PERFORMED USING E FOLLOWING METHOD(S)(Check all that apply) Mao. ® 1.CONTINUOUS ELECTRONIC M NITORING OF PIPING SUMP(S)/TRENCH(ES)AND OT R SECONDARY CONTAINMENT SECONDARY CONTAMM NT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c. DER PRESSURE ❑ d.UNDER VACUUM M31. PANEL MANUFACTURE :VeederROot M3z. MODEL#: 350 M33. LEAK SENSOR MANUF CTURER: VeederROOt M3°, \TESTS : 794380-208 Mas. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOW ® a.YES ❑ b.NO M36. WILL FAILURE/DIS NNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATITDOWN? ® a.YES ❑ b.NO M31 ❑ 2.MECHANICAL LINE AK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.hTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WH A LEAK IS DETECTED MLLD MANUFA TURER(s):VeederROot _ M3s. M39. 3.ELECTRONIC LIN LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK ELLD MANUFACTURER:VeederRDOt M4°, MODEL#: M41 PROGRAMMED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 h. ❑ b.MINIM M ANNUAL0.1 g.p.h. M42- gp WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43. WILL ELLD FAILUREIDISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M44 ❑ 4.INTEGRITY TESTING TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45. M46. ❑ 5.VISUAL MONITORING DONE: ❑ a.DAILY ❑ b.WEEKLY' ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" M47. •Requires agency approval '•Allowed for monitoring of unburied emergency generator fuel piping only per HSC§252815(b)(3) ❑ 6.PIPING IS SUCTION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2636(a)(3) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE USTS) ❑ 99.OTHER(Specify) M48. UN-022A-1/5 www.unidocs.org Rev.10/14/03