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UNDERGROLOD STORAGE TANK MOORING PLAN J 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 Moi. PLAN TYPE ❑ MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. MW. (Check one item only) ® THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S):(1) 11gPd nil Tank I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ FACILITY NAME Stockto Service Center M03. FACILITY SITE ADDRESS 4 0 West Lane M04' CITY Stockton M05. II. AQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing,prevent' maintenance,and calibration of monitoring equipment(e.g.,sensors,'probes,line leak detectors,etc.)be performed in M06 accordance with the equipment manufac rs'instructions,or annually,whichever is more frequent. Such.work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERV IC ® 1.ANNUALLY ❑. o9.OTHER(Specify): Mol III. MONITORING LOCATIONS This monitoring plan must include a Site Plan sh ing the general tank and piping layouts and t 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(e.g. orient UST Monitoring Site Plan from a Monitoring System Certification form,Hazardous Materials Business Plan map, etc. hwl shows all required information, elude it with this plan. IV. TANK MO TORING MONITORING IS PERFORMED USING THE FOLLO ING METHOD(S):(Che all that apply) Mlo. ® L CONTINUOUS ELECTRONIC MONITORING OF ANK ANNULAR(I�O�TERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ® a.D ❑ b.LI (IID FILLED ❑ c.UNDER PRESSURE ❑ d.UNDER VACUUM M''' PANEL MANUFACTURER: - r t M12. MODEL#: 350 M13. LEAK SENSOR MANUFACTURER: / erR M'4. MODEL#(s): 794390-420 M15. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED T NITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: Mu. MODEL#: MIT IN-TANK PROBE MANUFACTURER: MIR MODEL#(S): M19. LEAK TEST FREQUENCY: ❑ aZ NUOU ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY M20. ❑ dLY ❑ e.OTHER(Specify): M21_ PROGRAMMED TESTS: ❑ ah. ❑ b.0.2 .h. ❑ c.OTHER(Specify): M22. M23. ❑ 3.INVENTORY RECONCILIATION ❑ aPER 23 CCR§264 ❑ b.STATISTICAL PER 23 CCR§2646.1 M24❑ 4.WEEKLY MANUAL TANK GAUGING R 23 CCR§2645TESTING PERIOD: ❑ aRS ❑ b.60 HOURS M25❑ 5.INTEGRITY TESTING PER 23 CCR§26TEST FREQUENCY: ❑ aLLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): M26. M27 ❑ 6.VISUAL MONITORING DONE: ❑ a ❑ b.WEEKLY(Regni agency approvaq ❑ 99.OTHER(Specify): M29 V. PIPE MON1TOkWG MONITORING IS PERFORMED USING T FOLLOWING METHOD(S)(Check all that apply) Mao_ t� 1.CONTINZRAN S ELECTRONIC MO Ir OF PIPING SUMP(S)/TRENCH(ES)AND O ER SECONDARY CONTAINMENT SECARY CONTAINME IS: ® a.DRY ❑ b.LIQUID FILLED ❑ UNDER PRESSURE ❑ d.UNDER VACUUM MA. PANANUFACTURER a erRoot M MODEL#: 350 M3J' LEANSOR MANUF TURER: VeederRoot M34. MODEL#(s): 794380-208 M35, WILIPING LEAK ARM TRIGGER AUTOMATIC PUMP(i.e.,TURBINE)SHUTDO ❑ a.YES ® b.NO M36, WILILURE/DISC ECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC MP SHUTDOWN? ❑ a.YES N b.NO M3L ❑ 2.MECHAL LINE L AK DETECTOR (MELD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LE TESTS AND RESTRICTS OR SHUTS OFF PRODULOW WH A LEAK IS DETECTED MELANUFA URER(s): Mae. MODEL (S): M39. ❑ 3.ELECTRC LIN EAK DETECTOR(FLED)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS ELLN ACTURER: M40. MODEL#: M41. PROM ED LINE INTEGRITY TESTS: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MIN UM ANNUAL 0.1 g.p.h. M42WILDETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M43WILD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ❑ a.YES ❑ b.NO M444.INTEGRTESTINGTESEQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) M45, M46. 5.VISUALITORING DONE: ® a.DAILY ❑ b.WEEKLY* ❑ c.MIN.MONTHLY&EACH TIME STEM OPERATED" MP/a rD�..rl ('ar*oM fiP' - •Requires agency approval "Allowed for monitoring of anburied emrgency grneeator"a 'ping only per HSC§2528L5(b)(3) 6.PIPING IION PIPING MEETING ALL REQUIREMENTS FOR EXEMPTION FROM MONITORING PER 23 CCR§2616(x) ) ❑ 7.NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ❑ 99.OTHER(Specify)Remote foil to UST ity. Underground portion of piping is double wall. M48. UN-022A-1/5 www.unidocs.org Rev.10/14/03