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4 IL UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pae 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN N 2.CHANGE OF INFORMATION 4 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) 71 -1 1 1 1 -1 1 1 1 1 1 F"_' ' BUSINESS NAME(Same as Facility Name or DBA) CRLLC/76#5448 3 BUSINESS SITE ADDRESS 3202 W HAMMER LN 103. 1 CITY STOCKTON 104 II. EQUIPMENT TESTING A":PREVENTIVEMAINTENANCE 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 a uipment manufacturers'instructions,or annual,whichever is more frequent.Such work must be�erformed by qualified ersonnel.[23 CCR§2632,2634,2638,26411 MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3& �36. III. MONI'T'ORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) th t yply 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: N a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-66. PANEL MANUFACTURER: Veeder Root 490-7. MODEL#: TLS-350 Mt/ISO 490-8. LEAK SENSOR MANUFACTURER: Vendor Root 490-9. MODEL#(S): 407/409 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§2643] 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 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 4499.18' ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.11 - - ago-z° --- ----- -_-- ---- -----..- - _. -- ---------- - ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 422. ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.11 _ 490-23. ago-24. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): _ 490-25. ❑ 99.OTHER(Specify): ------'-- ----- ago 90-26.27. 0- 26. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)' th heck tnpIll ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [23 CCR SECONDARY CONTAINMENT IS: M a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 491-29- §2636] PANEL MANUFACTURER:Veedw Root 490.30' MODEL#: TLS-380 W4 ISD 490-31. LEAK SENSOR MANUFACTURER: V er P.00t 490•32. MODEL#(S): 208 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. M a.YES ❑ b.NO 490-34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. N 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): FE PETRO/VMI 490-37. MODEL#(S): STP-MLD and 99LD2000 490-38. -- -- ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§2636] 490-39. ELLD MANUFACTURER(S): 49040. MODEL#(S): 49041. 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 49141. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490'44. ❑ 4.PIPE INTEGRITY TESTING. ago a5' TEST FREQUENCY: 13a.ANNUALLY 0 b.EVERY 3 YEARS ❑ c.OTHERS cif 49046. ❑ 5.VISUAL PIPE MONITORING. 49048. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049. 'Allowed for monitoring of unburied emergency generator fuel g_qnlX,per HSCj25281 S[b)3__,_..,. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(ax3)] 490-5°' ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ❑ 99.OTHER(Specify) 490-5963. UPCF UST-D(12/2007)-1/3 www.unidocs.org