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* UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pae I of 2) rYPE OF ACTION ❑L NEW PLAN J§ 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(Nj-___Ci A 5 n I i nP. l 1 5;T'st I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) C R L L C / # 5446 3, BUSINESS SITE ADDRESS 1403 Country Club Blvd. E°3 CITY S t o c k t o n 104. II.;EQUIPMENT TESTING AND PREVENTIVE ENANCE 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 equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR '2632 2634,263$,2641 _ MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY [399.OTHER(Specify): 4�3b III,MONITORING LOCATIONS ❑1.NEW SITE PLOT PLANlMAP SUBMITTED WIT THIS PLAN. Z.SITE PL PLANlhiAP PREYIOUSLY SUBMITTED, (23 CCR§2632, 2634 490.4 IV.TANK MONITORING IS PERFORMED USING T E FOLLOWING METHOD(S): I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 406-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY ® b,LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4�1f -----_---_------- __...____ -_ __________ ........................._..........._..__.........___._._-----_.____._______-_--.---------------•....___._._-____----_.._...._....___.__..--_----._-.•- PANEL MANUFACTURER: V e e d e r Root 49°7, MODEL#: TLS-350 WlISD 491E-8 -----------------_ -•--__ _�. _____-__-_--____._____......_._-------__-.---------_-___.------------------------------------------- __ LEAK SENSOR MANUFACTURER: V e e d e r Root 490 9' MODEL#(S): 3 0 2 490-10 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKIS,)t(23 CCR§2643) 490-11 PANELMANUFACTURER: 490-12. MODEL#: 49(13 - _ ----------__-__-----------___ IN-TANK PROBE MANUFACTURER: 44°-14 MODEL#(S): 49045 _ _............._._.__.___-_._______•-_..._.._.-_.._--______-_.. _ _M_._.____r_.__._-______.._--- ._--- _.___.__.-_-_--.--------------_-__. __.-----___.__-._ LEAKTESTFREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYMIGHTLY ❑ c.WEEKLY 4s0Ie El d.MONTHLY ❑ e.-- PROGRAMMED TESTS: OTHER(Speci )._�-- 490 17 ❑ a.O.Ig.p,h. ❑ b.0.2g.p.h. ❑ c.OTHER 490.19 49(19 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49°-20 C34.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490is 5.TANK I.NTEGRITY TESTING(23 CCR§2643.1): 49023 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 49024 i 490-25 ? ❑99.OTHER (Specify): 490-26 490.27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING E O ),(Check all that apply) 1.CONTINUOUS MONITORING OF PIPET PIPING SUMPS)AND 01'HEit SECONDARY GON CAINMEN'C W tTEd AUDEBLE AND 490-29 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a.DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 490.29 PANEL MANUFACTURER: V e e d e r Root 490-30 1 MODEL 490-31 I #: TLS-354 wlISD -.LEAK SENSOR MANUFACTURER: V e e d e f Root 490-32 MODEL#(S): 2 0$ 490-33 ____------__ ----- --._------------------_-___. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. KI a.YES ❑b.NO 49(34 FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. KI 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 ___ EaOgU4 r FGO HE`, t KAK Is DFTECTED(23 c! R! ---.... 490_36 MLLD MANUFACTURER(S): V 1 490-37 MODEL#(S): L D-2 0 0 0 490-39 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 --____--__- ------------,----------___--------_____----------------------------__..._-----_-- ELLD MANUFACTURERS 490 40 490-41 � ) MODEL#(S): ................ ---------- -- PROGRAMMED IN LINT.LEAK"TEST: ❑ I.MINIMUM MONTHLY 0.2 h. 2.MINIMUM ANNUAL 0.1 490.42 g p• ❑ - g.p.h. EL LD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490.43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-Yf 4.PIPE INTEGRITY TESTING 49045 TEST FRE UENCY a.ANNUALLY 0 b.EVERY 3 YEARS 0 c,OTHER(Specify) 49(46490-47 5.VISUAL PIPE MONITORING. 49440 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049 'Allowed for mm�itorinm of urtbuned merz=cy genmtorfuel in oni r};'C 252$1..5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)1. 440.50 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) 490-52 490.53 UPCF UST-D(12/2007)1!4