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a,.__-------------------- - --- ......S.tisu7Ak2a11R-.•.•.•'::11 �l.__,.J:::wA.x�:i{Y vi1\? _i�u:2 L1v1FIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- Pae i of 2) Witt 490-1 TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION /� PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ENVIRONMENTAL ago-z (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1.ILYM- 3. BUSINESS NAME(Same as FACILITY NAME)National Petroleum-Stockton io3. CITY Stockton 104. BUSINESS SITE ADDRESS 713 N.EI Dorado St. H.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. X23 CCR§2632,2634,2638, 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 PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490 A IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): ® 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT ago-s VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) 490-6 [ISECONDARY CONTAINMENT IS: a.DRY ® b.LIQUID FILLED El c.PRESSURIZED ❑d.UNDER VACUUM -- _ _-_-_ - ---- a90-7. MODEL#: TLS 350 490-8 PANEL MANUFACTURER: Veeder Root --�_- ---_- --- LEAK SENSOR MANUFACTURER: Veeder Root --"- ---- ago 9. MODEL#(S): 794380-208 -a90-1° 0-900-1 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490 13 490.12. MODEL#: PANEL MANUFACTURER: -- ---- ---- - -- ----------- - -------- 490-15 IN-TANK PROBE MANUFACTURER: b.DAILY/NIGHTLY ❑ c.WEEKLY a9ai6 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS -- ❑ 490-17 _ ❑ d.MONTHLY --- ❑ - - - _----___- 490-18 PROGRAMMED TESTS:- ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 490-20 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-21 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 490-22 490-23 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-24 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 490.26 ❑99.OTHER (Specify): 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 490-zs ® 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2636) 490-29 SECONDARY CONTAINMENT IS:❑a.DRY ®b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM -_-_ 490-31 - -- --- 490-30 MODEL#: TLS 350 PANEL MANUFACTURER:Veeder Root ___ 490-33 2 LEAK SENSOR MANUFACTURER: Veeder Root 0-90-3 _ -_ _ 1 MODEL#(S): 734-380-208 490-30- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ( a.YES ❑b.NO 490.35 FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO ❑ 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 - __ __-_- - --- 49°-36 _--_"-�____---�---�__---- 490-37- 490-38 MODEL#(S): MLLD MANUFACTURER(S): ® g.p.h.LEAK TESTS (23 CCR§2636)3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 490.39 -- -" 490-40. MODEL#(S):848-480-001 ago-0t ELLD_MANUFACTURER(S)Veeder Root PROGRAMMED IN LINE LEAK TEST:-❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-03 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 490-x4 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ®a.YES ❑b.NO ❑ 4.PIPE INTEGRITY TESTING 490-45 490-46 490-47 TEST FRE UENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-48 ❑ 5.VISUAL PIPE MONITORING. FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" 49°49 •Allowed for monitorin of unburied emer enc enerator fuel piping only r HSC§25281.5(b)(3) 490-50 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 490-52 El99.OTHER(Specify) 490-s3 .�n u.!11- DI1.1 Oft0l11/,!