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Y FIED PROGRAM CONSOLIDATED FO-jr UNDERGROUND STORAGE TANK MONITORING PLAN -(Page I of 2) o TYPE OF ACTION ® 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. SEP 0 490-2 (Check one item only) [12.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 8 ZOOS I. FACILITY INFORMATION ENVIRONMENT HEALTH FACILITY ID#(Agency Use Only) 1 BUSINESS NAME(Same as Facility Name or DBA) 3 Marigold Shell BUSINESS SITE ADDRESS 6131 Pacific Avenue 103. CITY Stockton 104. 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.!gVipment manufacturers'instructions,•orannually,whichever is more frequent_Such work must be performed by_gaalified personnel.[23 CCR§2632,2634,2638,26411 MONITORING E UIPMENT IS SERVICED ® 1.ANNUALLY [199.OTHERS eci 490-3a. Q ( P �)� 490-3b. III. MONITORING LOCATIONS ❑ ;.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26141 4904. [V. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODS; t(Chtak`11 ® 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): 302 490-10. _..• .-......-.....-_ -_._.._._..---...--.----- ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11. 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.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS eci ago-18. .............................................................-..........................................-.........-..-........-......-...._..-_g•I'....._......._...._._.__._..__...._._.._._._..g.p.h. _ .--- _.( P ��:_.. ........_490._19:........._.. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.11 ago-2°• ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 422. .................................._...-__..__.-....._.._...-._.__._.._._._...... 490-22 ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(S eci 490- .......... 90 z4. Q -_ P fy): .490•;25,_• ❑ 99.OTHER(Specify): 49ago-25:'" 0-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that atak lI1 ® L CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 CCR SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. §26361 PANEL MANUFACTURER:Veeder Root Simplicity 490-30. MODEL#: TLS-350 490-31. LEAK SENSOR MANUFACTURER: Veeder Root 490-32' N:ODEL#(S): -'E 2 490-33. 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. ® 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 MLLD MANUFACTURER(S): 490-37. MODEL#(S): 490-38. ... .................._. - ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 490-39- 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. 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. __....--..._.......___._._.__.._..__-.-_..._......._....__.-_--.__-.....................__._._. __. -.___ ❑ 4.PIPE INTEGRITY TESTING. 49045. 46. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS El c.c.OTHER(Specify) 49 . ❑ 5.VISUAL PIPE MONITORING. 490.48 FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 49049. •Allowed for n tonna jt unbu6ed emeS%e9a n-to r fuel Piping only per HSC§25281 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA. .�._- [23 CCR§2636(a)(3)1 - - 490-50. _............._._..-..__..........._... .- _' _._--......__.._............._._...__._._.-___...-_.. __..-_ _...._................... _...___....-.........._....--...----._....--...._...-- -.-._............_-._-_._ -._........_..-.........__...__.................... ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51 52 El 99.99.OTHER(Specify) . UPCF UST-D(12/2007)-1/4 www.unidoes.org