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0 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Pae 1 of 3) 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) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): 490-2a. I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 BUSINESS NAME(Same as Facility Name or DBA) ARCO 05450 3 BUSINESS SITE ADDRESS 1617 W FREMONT 103• BUSINESS SITE 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 bathe equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be perfoTIO b ualifiSLd rsonnel.[23 CCR§2632,2634 2638,26411 490-3a. MONITORING EQUIPMENT IS SERVICED ® 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b. III. MONITORING LOCATIONS ® 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLAT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 490-4, IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) hara ply) 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) ago-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: ® a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: V@@d@r Root 490-7' MODEL#: TLS-350 490.8' LEAK SENSOR MANUFACTURER: V@@d@r Root 490-9. MODEL#(S): 794390-407 490-10. ....................... ❑ 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-n. PROGRAMMED TESTS: ❑ a.0.1 h. b.0.2 h. ❑ c.OTHER(Specify): ago-Is. --- -- - -- - _ __ ...__- g:p- _-_®_g p�.-.-_ - ( P _Yk ago-i9. _ ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490-20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)123 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490490-21. ❑ 5.TANK INTEGRITY TESTING PER 123 CCR§2643.11 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY [3c.OTHER(Specify): 490-25. . ❑ 99.OTHER(Specify): - -- -�- - - 490-26. 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that al lll) ® 1.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 §2636] PANEL MANUFACTURER:V@@d@r Root 490-30. MODEL#: TLS-350 490-31. 4`90-32. MODEL#(S): 794380-323(STP): 490-33. LEAK SENSOR MANUFACTURER: V@@d@r Root, 794380-344(Fitts) 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 490-31. ® 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.123 CCR§26361 MLLD MANUFACTURER(S):Red Jacket 91 tank 0111 490.37. MODEL#(s): FXIV 91 tank only) 490-38. ® 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 ago-39. ELLD MANUFACTURER(S):Red Jacket 490-40' MODEL#(S): CPT 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 490-43 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-44 ❑ 4.PIPE INTEGRITY TESTING. 490-45. 490-46. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490.47. ❑ 5.VISUAL PIPE MONITORING. ago-a8. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49• Allowed for monitori-,n�•.of unburied erne__,renc y generator fuelpipin on 2.....@)(3)... ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 CCR§2636(a)(3)] 490-50. ❑ 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) __._._.�_.__..__._._-._._..-.-._..--.-.._._.._.__.___....-._..-_.._._.-_._...--_._._._.a9o=3a:-- 490-53. Arco 05450,Belshire Environmental Services Page 1 Of 6