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M ONIFIED PROGRAM CONSOLIDATED FORIft UNDERGROUND STORAGE TANK MONITORING PLAN - tPae 1 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) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- 1. FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME) N 5TR, LLC 3. BUSINESS SITE ADDRESS 5000 South Lindbergh 9t 103. CITY Stockton, Ca., 95206 104. 11. 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 equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. (23 CCR §2632, 2634, 2638, ------------- - ------------------- - ------------ - - - - ------------- - ------------------ - ----- - -- ------------------------------------------- - - -- - -- MONITORING EQUIPMENT IS SERVICED 1. ANNUALLY ❑ 99. OTHER (Specify): 490-34 490-3b III. MONITORING LOCATIONS El 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 0 2. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)490-4 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 0 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT 490-5 VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: 0 a. DRY [Ib. LIQUID FILED El c. PRESSURIZED [Id. UNDER VACUUM 490-6 ------------- - ------ - ------------ - ----------- - - - ---------- --------- - -------------------------------------------- - ---------- 490-7. 1 PANEL MANUFACTURER: Leak -a -alert i MODEL #: LA -02 - - 490-8 ale--r-i ------------- - --- - - - -- - -- - ------- - ---- LEAK SENSOR MANUFACTURER: Leak -a- i MODEL #(S): LA -Sl [1 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490-11 PANEL MANUFACTURER: 490-11 MODEL #: 490-13 -------------------------------------------------------- ----------------- - -- ---------------------------------------------------- - - ---- - ------------------------------------------------------ IN-TANK IN-TANK PROBE MANUFACTURER: 490-14. MODEL #(S): 490-15 ------------ --- - ---------- - - -- - - - -------------------------------------- - ------ ---- - - ------------- - - - LEAK LEAK TEST FREQUENCY: [I a. CONTINUOUS [] b. DAILY/NIGHTLY 0 c. WEEKLY - - 490-16 El d. MONTHLY El c. OTHER (Specify): 490-17 - - ------------------------------- - --------------------------------- - ---------------- - - -- ----------------------------------- PROGRAMMED PROGRAMMED TESTS: El a. 0.1 g.p.h. ❑[I b. 0.2 g.p.h. ❑El c. OTHER (Specify)- ---- 490-18 490-19 ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490-20 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: El a. 36 HOURS El b. 60 HOURS 490-21490-22 ❑ 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490-23 TEST FREQUENCY: ❑[I a. ANNUALLY ❑[I b. BIENNIALLY ❑[I c. OTHER (Specify): 490-24 490-25 ❑ 99. OTHER (Specify): 490-26490�27 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) 1. CONTINUOUS MONITORING OF PIUPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: Oa. DRY E]b. LIQUID FILLED E]c. PRESSURIZED []d. UNDER VACUUM 490-29 1 --------- - - ------------------------------- - --- - ------ PANEL490-30 -MANUFACTURER: Leak -a -alert 1 MODEL #: LA -02 - -- - - - 490-31 --------- -- 490-32 1 Leak -a -alert MODEL #(S)_ LA -S1 490-33 -------LEAK-SENSOR-MANUFACTURER: ----- - ---------- - ----- - -- - ---------------- - ------ -------------- - ---- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. 0 a. YES Z b. NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a. YES Z b. NO 490-35 2. MECHANICAL LINE LEAK DETECTOR (LLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED (23 p *) 490-36 MLLD MANUFACTURER(S): Red Jacket 490-37 MODEL #(s): FX1 D 490-38 El 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 490-39 --------------- -------- - -- -- ,WC�T.T ELLD MANUFACTURER(S) I MODEL #(S): --------- - - - -------------------------- - - - - --- - -- - ---------------- - ----- - ---------------- - --- - 490-41 PROGRAMMED IN LINE LEAK TEST: El 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a. YES El b. NO 49043 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. El a. YES 0 b. NO 49044 ❑ 4. PIPE INTEGRITY TESTING 49045 TEST FREQUENCY [:1 a. ANNUALLY [] b. EVERY 3 YEARS El c. OTHER (Specify) 4904649047 -0-5. VISUAL PIPE MONITORING. 490-48 FREQUENCY El a. DAILY El b. WEEKLY [] C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- 49049 * Allowed for monitoring of unburied emeMmy generator fuel piping only per HSC §25281.5(b)(3) ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR §2636(a)(3)]. 490-50 F1 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) 490-52490-53 UPCF UST -D (12/2007) 1/4