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06/17/2009 14:37 9259790467 CFSI PAGE 04105 <br />UNIFIED t?R M CONSOLIDATED FORM <br />UNDER . UND STORAGE. TANK <br />MONITORING PLAN — (Page I of 2) <br />TYPE OF ACTION 0 1. NEW PLAN ❑ 2. CHANCE or INFORMATION A0M. <br />PLAN TYPE ® t, MONITORING IS IDHNTIr.AL FOR ALL UST., AT THIS rAmmy. 4V0.7. <br />(rkeck one Item only) ❑ R. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S); <br />I. FACILITY INFORMATION <br />FACILITY to # (Agency rlm Only) <br />_ <br />t. <br />SUS24US NAME MWme w F4c4/ifv MTmvprA/IA) �C U ry GIUb 76 ? <br />...... ....... .. <br />DUSTNESM gITA ADDRESS 2375 Country Club Blvd <br />GTTY Stockton <br />M EQUEPMENT TESTING AND PREVENTIVE MAINTENANCE. <br />Testing, preventive maintenance, And CAlibmtion of monitoring equipment (e.a.. sensm, ptobea, line leak detectara, r.14) mt4ube pbiormed at the frequency npacitied <br />b. the uipmentwmmm�lu iNrarg' instructions. �enravnlly, whkdaewrr s fieav fresuta y Such work mugt he perl'nrme 1,by vunlifi0d 1n7zggpal. j2. qil a7g?? mw a}vg xAl <br />MONITORING EQUIPMENT IS SERVICED 0 T. ANNUALLY O 00.OTHPR(9pt0tr): A <br />III. MONITORING LOCATIONS <br />® 1. NEW sm PLOT PLAN/mAP SUBMirmD wrrH -mis PLAN ❑ 2 SITE PLOT PLANlMAP PRSvIOUSLY SUDM[TTED 1zNxa WM, r,MI "X�4' <br />IVa TANK MONi'1'ORiNG IS PERFO D USING THE FOLLOW NG' METROD(S) ,r *'t <br />wavolml <br />09 1. CONTINUOUS ELECTRONIC TANK MONTTORTNG Or ANNULAR (INTFRT"At,) SPACE(S10R SECONDARY CDNTArNMF.NT VAULTS) <br />WITH AUDIDLE AND VISUAL ALARMS, Rt CCR 41611 in+al <br />SECONDARY CONTAINMENT IS: ❑ a. DRY ❑ b. LIQUID FR.ITT) ❑ c. PRESSURIZED 0 d UNDER, VACUUM <br />PANEL MANUFACTURE& V99der Root 410'1' MODEi. b: T_L9_35O 4404 <br />LEAK gFNRDR MANUFACTURER: Vaeftr Root 49". MODEL k(fl ' T94a$0 Q3O °0°'10' <br />(3 z. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR „�$V rLE WALL TANR&i ii1 CCR 624ki "°0.11. <br />PANEL MANUFACTURER: """ a MODEL M: <br />IN -TANK PRODS MANUPAMIRER! IA MOTEL 10): l.f <br />LEAK TFaT FREQUENCY: a CONTINUOUS C] b. DAILYlNICA417M ❑ c. WEEKLY 4M 1a <br />❑ d. MONTHLY ❑ o. OTHER (Specify): <br />PROGRAMMEDT6STS: ® 0.1 6K -Is <br />a g p,h. ❑ b. 0.2 q.p h. I� a OTHER�H teci�y <br />❑ t, MONTKLYSTATISTICALINVENTI)RY RFCONCILIATION,IxtCCRrU&Q �aALr, <br />_ <br />❑ 4. WEEKLY MANUAL YANK GAUOTNO (MTG)rylVCCR 0m4r TESTING PERIOD: 0 a. )6 HOURS❑ h en HDQRS <br />�agn <br />❑ S. TANK rNTEORITYTESTING PER Irceit <br />TEST MQuENCY; ❑ A. ANNUALLY E3 h. BIENNIALLY N ❑ c. OTITER (S)teci <br />a❑ <br />S�. OTHER $ r21 .wrasi. ' <br />V. PIPE MONUOMWG IS PERFO D USING TM FOLLOWING ME ' : D(S) <br />, <br />{� I. CONTINu01,15 MONITORING OF PIPIYPTPINO St1Mr(S) AND OTUM.. SECONDARY CONTAINMENT WITH AUDMi-FA.YTSUAL ALARMS.. _'_°0'.'r. <br />ISECONDARY CONTAIDMLNT IS: ® a D[3a. RY b. LIQUID FILLED C3 PR1ggURIT.fb ❑ d. UNDER VACUUM <br />taSN <br />1zv4 <br />PANEL MANUPACTURFTt Veeder Root °°ayk MODEL #: TLS -360 <br />LP.AKSENSOR MANUFACTURER: VeederRoot 41ji"32• MODEL*(S): 794380,208 aRLie. <br />PIPING r,FAK ALARM TRIGGERS AUTOMATIC PUMP (i e. TURBINE) SHUTDOWN. ® A, YES ❑ b. NO <br />FATI,UR51 XSCONNECTTON Or THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN, ® a. YES 11 b. NO <br />9. MECHANICAL LINE LEAKDETECTOR ItuLI P} THAT ROUTRYELY PERFORMS 3.0 g.p.h. LEAK TFgTS AND RESTRICTS OR SHUTS OFF "�`a• <br />PRODUCT PLOW WHEN A LFAK rS DETECTED. Iia ecitm•61 <br />MLLD MANUFACTURER(S): Red Jacket 400M. MODEL H(S): FX2V eaa la. <br />Q 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY FFRFORMq 3.0 wp.h. LEAK TESTS. ria cepm1hl <br />ELLD MANUrACTURER(S): '^0'"0 MODEL R(S) <br />PROGRAMMED rN LINE LEAK TEST ❑ a. MINIMIrM MONTHLY 0.3 m.p.h. ❑ b. MINIMUM ANNUAL a.1 S.p.h. 4M4Z <br />ELLO DFTRCTTON OF A PIPING LEAK TRIGGERS AUTOMATIC P1.M? SHUTDOWN. ❑ A. YE4 ❑ h. Nn q"Al. <br />ELLD PATLVRFfi15C'ONNECTION TRIGGERS AUTOMATIC PUMP $MUTDOWN ❑ A. YES ❑ b. NO 4"A, <br />❑ 4. PIPE INTEGRITY TESTING. Ramat <br />TEST FREQUENCY: C a ANNUALLY ❑ b. FyF,R.Y 3 YEARS ❑ a OTHER (Speui <br />❑ s• VISUAL PIPE MONITORTNG. <br />FREQUENCY: ® A.DAILY ❑ b. WEEKLY ❑ c miN.MONTHLY&EACHTimERY,,TRMOPRRATT)Tr <br />�Atlawad an mmdaxmg�rm,wua aemn.Mr,r!.n.Mt�^f�+'�iX rw"r>< flC 3Z5xal.s_{la�! <br />❑ 6. SUCTION PtmomeETS Exe; PT ON CRUTFRrn, n? cr t pvllaax>tt M-"" <br />O 7. No REGULATED PIPINO PER HEALTH A,ND SAFETY COI)F, OMMON 2C, CHAPTER b.T IS CONTvTCTED TO THE TANK SYSTEM. va 11. <br />— <br />� � 4%a Aft ' <br />❑ 99.OTHER (S Ir � <br />Ti" <br />Flow code <br />I Pa .Fate color, Auto <br />tt_ , Pont color. Auto <br />.dreg ereshear-- 11221o811I18 ASA <br />. {�rE� BreShet3r9 1l2�)dS i.1, 11) 11 �fi ,'. <br />+3 atT 9te�hear� 11� ^,%ti811:1>) /iVi <br />Girgip Brbatleclte''J221CJ6 <br />Fotm9tt@d. Font:Timea Now Roman Sold <br />IPomitted= FonkTtmes New Ronan Bold, <br />1, Font Wor Auto <br />Q. <br />F : FOntT)mas New Roman Bold, <br />Font ter: Auto <br />