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IED PROGRAM CONSOLIDATED FO UNDERGROUNDSTORAGETANK MONITORING PLAN - Pae 1 of 2) FTYPFOFON ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1 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): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ - 1 BUSINESS NAME(Same as Facility Name or DBA) 3. Marigold Shell BUSINESS SITE ADDRESS 103. CITY 104' 6131 Pacific Avenue Stockton H. 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 b the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must beperformed_by qualified_personnel.[23 CCR§2632,2634,2638,2641] y .. -..... _ . - - - ..... a. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY El 99.OTHER(Specify): a90-sb. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 0 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26343 490-4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS; (Check all ® 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 ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6 PANEL MANUFACTURER: Veeder Root Simplicity 490-7 MODEL#: TLS-350 490-8. LEAK SENSOR MANUFACTURER: Veeder Root 490.9 MODEL#(S): 302 4e0-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(§).[23 CCR§26433 49an PANEL MANUFACTURER: 490-12 MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490.16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a.0.l h. ❑ b.0.2 h. ❑ c.OTHER(Specify): 490-18. ----.....__.......__..........._........---....... . _.................g g.p.h. -._- g.p.h.--__.._.__....._.. ---._.... '.... ......... -AK-12 ...... : ._.._.........._._.. ...... ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646._... 1] a90-z°. .........................._.._-.._-....._............ ......__........................................................................................._.............__ - --.._.........._ _ ....__.._........------...__-.............._._..-__............._-.......-...._.._._................_._......__.................................._.......- ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS ._.__..._.------ -...._-.._.._...............___.-._--'---.._......_.�................. __._.__. �"'-----------' 490-22. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] ��- 490-23. 490-24. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ e.OTHER(Specify): -aqo,-2s,........... .........................._....._..._..-'--'---.....-......... .._.....----._......._._....._..----'-'--.__...................._..... 490-26. ❑ 99.OTHER(Specify): 490.27 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (C tack all ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITI I AUDIBLE&VISUAL ALARMS. 490-28. [23 CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §2636] PANEL MANUFACTURER:Veeder Root Simplicity 490-30. MODEL#: TLS-350 490-31, LEAK SENSOR MANUFACTURER: Veeder Root 490-32. MODEL#(S): 352 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ® a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a.YES ❑ b.NO 490-35. ---- �_.._._...._._..._... 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 DETECTED.[23 CCR§26361 490-37. 490-78. MLLD MANUFACTURER(S): MODEL#(S): -_......_-.....-_ .............................. .-._.-_.-_..-...... _ _._.-...-......... ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26363 49°39 ELLD MANUFACTURER(S):Veeder Root 490-40. MODEL#(S): PLLD 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490.42. 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. _........................ -_._.._._.........._._ _.............__....- .... -'---.... -----'-- -- . ❑ 4.PIPE INTEGRITY TESTING. 49oas TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) ago-46 __....... -_........................._...._._..____...................... -._._.-..--....____._........................_.-_._._.....--...._...._......_._....... - .. p_.._ )... aso �_ ❑ 5.VISUAL PIPE MONITORING. 49048. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED. 49049. -_..-. -._.._.-__._.......- -_...._... _.__.__.-.-._.......___. _. _...................-..._......_.-.-._............_..._.._...�:.Mowed for monitoringof unburied emerseacy..generator fuel ping on�l_ep-r HSC E528!--H x(31._--...-_... . .. ....... ............... ... .... .... ........ ............. .... ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)] ago-so. _........._._._._._..._..._._._................... ---_.-._.._-...._..-......_..........------............_........_-- _ _ ..................._.T ..._.-._ _.-�.� _...._.....__.._. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. ago-sl. .............._.................- .. ---...........-...-' ' -'---- ❑ 99.OTHER(Specify) 490-52 490.53. UPCF UST-D(12/2007)-1/1 www.unidoes.org