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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN Pae I of 2) "TYPE OF ACTION ❑ 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) [J 2.THIS PLAN COVERS ONLY IT IE FOLLOWING UST SYSTEM(S). 0 i I WN n s I P Ta,r3 k- 1. FACILITY INFORMATION FACILITY ID#(Agency Use Only) I BUSINESS NAME(Same as FACILITY NAME) C R L L C / 5446 3. BUSINESS SITE ADDRESS 1 4 0 3 Country Club Blvd. 03 CITY Stockton 104. IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed A 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 I.ANNUALLY 99.OTHER(Specify}: 4903e 490-3a III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN, 13 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4904 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING ET S): • I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4945 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: El a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490.6 - - PANEL MANUFACTURER: R O N A N 49Q-T' MODEL#: X 76 490-8 LEAK SENSOR MANUFACTURER: RONAN MODEL#(S): IT-9-6-id F l i l Sens(9t° 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL.TANK Sl.(23 CCR§2643} 490.91 PANEL MANUFACTURL-R: 490.12 MODEL#: 490-13 --- -- ---- --- -- ---- -----_---___-.------_ ..._ _._.. .....---- ----- arts. 490-15 IN-TANK PROBE MANUFACTURER: _ MODEL#(S}: ............._.„______..____--_-.---___------_-----------------------_---__-_.__._--.- __.____._- __.-_--_.--_.__........•---.......... .._____ LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-t6 _____------ ❑ d.MONTHLY ❑ C.O'fT1ER(S et 49047 ___-_ ._-----_--_-.__-__--------------------_------__-____ -._---___._ ?: _.------_-_------__-___---------------.- PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL.TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD ❑ a_36 HOURS ❑ b.60 HOURS 490.21 490-22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-2 `PEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHERS if 490.24 (Specify): y) 490.25 ❑ 99.OTHER (Specify): 490-i6'- 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWINGE O S)(Check all that apply) • I.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 49a-28 VISUAL ALARMS (23 CCR§2636) SECONDARY CONTAINMENT IS:Qa,DRY ❑b.LIQUID FILLED Oz.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER: RONANMODEL# X 7 6 490-30 490-31 LEAK__.. sENsoR MANUFACTURER: __tz o rv_A vMODEL#(s)_ Liquid F i i_i Sens 3 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN, ❑a.YES ❑b.NO 49034 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 PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR 2636 490.36 -®.M_____.��____-. .... �..._.._.....� _.___.�_-_.-�.-_..---_----- ---------..,._.__.._.__'___..__....._._..---`--^•_____'_..__." MLLD MANUFACTURERS: 490'33 f ) MODEL;!(S): 490.3E ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p h.LEAK TESTS (23 CCR§2636) 49039 ELLD MANUFACTURERS} 490,41 i 49041 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTIILY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.K x9042 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 49044 Lj 4,PIPE INTEGRITY TESTING 490-45 TEST FRE UENCY a.ANNUALLY b.EVERY 3 YEARS c.O'PHER S eci 49046490-ar S.VISUAL PIPE MONITORING. 4904E FREQUExCY ❑ a.DAILY ❑ Fa,WEEKLY ❑a.vtlN.btONTHLY EACH TIME SYSTEM OP' TE®• 49049 •ANowed for nwnimrin of unt?wod e n eraser fug tin ant t9SC 232&!.5 3 ❑ 6.5UCTION PIPING MEETS EXEM ION CRITERIA I23 CCR§2 ja)(3)I, 49430 i 7.NO REGULATED PIPING PER EIEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO TIES TANK SYSTEI�t 49491 f 13 99.OTHER(Specify) 49052 09053 UPCF UST-D(12/2067)1/4