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UNDERGROUND STORAGE TANK MONITORING PLAN - PAGE I TYPE OF ACTION ® L NEW PLAN ❑ 2. CHANGE OF INFORMATION Min N TYPE ® MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. M02 eek one item only) ❑ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) _ BUSINESS NAME (Same as FACILITY NAME) California Fuel Supply 136144 Moa BUSINESS SITE ADDRESS 2575 Country Club M04. CITY Stockton Mos II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing, preventive maintenance and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) 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. MONITORING EQUIPMENT IS SERVICED ® I. ANNUALLY M06 ❑ 99, OTHER (Specify): M07. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form, Hazardous Materials Business Plan map, etc.) which shows all required information, include it with this plan. IV. TANK MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) MID ® 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ❑ a. DRY E b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. VACUUM Mil. PANEL MANUFACTURER: Veeder Root M12. MODEL #: TLS-35OR M13. LEAK SENSOR MANUFACTURER: Veeder Root M14MODEL #(S): 794380-420 M15 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: MI6. MODEL III!: MIT IN -TANK PROBE MANUFACTURER: MIR' MODEL#(S): Mlq LEAK TEST FREQUENCY: ® a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY M20, ❑ d. MONTHLY ❑ e. OTHER (Specify): M21. g. p. g.p.h. (P fY)� PROGRAMMED TESTS: ❑ a. 0.1 h. ® b. 0.2 h. ❑ c. OTHER (Specify): M22 M23 Vis. INVENTORY RECONCILIATION ❑ a. MANUAL PER 23 CCR §2646 ❑ b. STATISTICAL PER 23 CCR §2646.1 M24. ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS M25. ❑ 5. INTEGRITY TESTING PER 23 CCR $2643.1 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): M26 M27 ❑ 6.VISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY (Requiresagencyapprovau ❑ 99. OTHER (Specify): Mex V. PIPE MONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Mao. 1. CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ® a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. VACUUM Mai, PANEL MANUFACTURER: Veeder Root M32. MODEL #: TLS -350R M33. LEAK SENSOR MANUFACTURER. Veeder Root M34' MODEL #(S): 794380-208 M3.5 WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN? ® a. YES ❑ b. NO M36. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a. YES ❑ b. NO M37. ❑ 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 MLLD MANUFACTURER(s): M311. MODEL #(S): M34 ® 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS ELLD MANUFACTURER: Red Jacket M40 MODEL #: FXV M41 PROGRAMMED IN LINE TESTING: ❑ a. MINIMUM MONTHLY 0.2 g.p.h. ❑ b. MINIMUM ANNUAL 0.1 g.p.h. M42 WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a. YES ❑ b. NO M43 WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a. YES ❑ b. NO Moa. ❑ 4. INTEGRITY TESTING TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) M45. M46. 'ISUAL MONITORING DONE: ❑ a. DAILY ❑ b. WEEKLY* ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED** M47 _ * Requires .gooey approval ^ Allowed for monitoring of unbutiud emergency generator fuel piping only per HSC §252111.5(b)(3) ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR §2636(a)(3) ❑ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) 1-199. OTHER (Specify) Max '-'r..'__. roi1,unAN 114