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IFIED PROGRAM CONSOLIDATED F UNDERGROUND STORAGE TANK MONITORING PLAN- (Page 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN E 2.CHANGE OF INFORMATION .90-1. PLAN TYPE ® 1.MONITORING IS IDENTICAL FOR ALL USTs AT T HIS FACILITY. ago-z. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 1 - 1 1 1 -1 2 1 2 7 BUSINESS NAME(Same as Facility Name or DBA) WATERLOO FOOD & FUEL 3 BUSINESS SITE ADDRESS 3032 WATERLOO RD 103. CITY STOCKTON 104, II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sense:s,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed b ualified personnel.[23 CCR§2632,2634,2638,26411 Y............................................................................9..............................................._....................................p.....................................Y._9............................ .........................._..................._............._....................................................._..... 490-3a. MONITORING EQUIPMENT IS SERVICED E 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b. IIL MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN E 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) ih(Check-11 E L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTE-ZSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5, WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632.2634] SECONDARY CONTAINMENT IS: E a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6. PANEL MANUFACTURER: INCON 490-7. MODEL#: TS1001 490-8. LEAK SENSOR MANUFACTURER: INCON TSP 490-9. MODEL#(S): TSP-EIS 490-10 .. .... ................................................................................... ............................................................. ........................................................................_.......... .............................. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§2643] 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): 490-17. PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHER(Specify): ago-1 s. g•P• g•P• fY) a90-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIA�'ION[23 CCR§2646.11 490-20. ............................................................. _................................................ ........................ ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§2645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22,z1. ............................................................................ ........ ......................................................... ❑ �.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c. (Specify):OTHER490-24. 490-25. ❑ 99.OTHER(Specify): 490-26. 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that a d E 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SFCONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. CCR 361 a. El UUM 490-29 SECONDARY CONTAINMENT IS: E DRY b.LIQUID F LLED ❑ c.PRESSURIZED ❑ d.UNDER VAC §3 . PANEL MANUFACTURER:(NOON 490-30. MODEL#: TS1001 490-31. LEAK SENSOR MANUFACTURER: INCON 490-32. MODEL#(S): TSP-ULS 490-33, 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 490-35. ........................................................................................................................................................................................................................................................................................................................................................................................................................................................ ..............................-.................................................................. E 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 490-37. MODEL#(S): XL(91)/99LD2000(87 490-38. MLLD MANUFACTURER(S): i diesel) ........... ......... ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§2636] 490-39, ELLD MANUFACTURER(S): 490-40. MODEL#(S): 490-41. PROGRAMMED IN LINE LEAK TEST: s ❑ a.MINIMU[:,I MONTHLY 0.2 g.p.h. Elb.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 FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44. .........................................................................................................................................................................................._.........................................................................................................................................................................._.._._............................_........_..._...................................._........._.........................._._._..........._....................._................................ J. 4PIPE INTEGRITY TESTING. 490-45. 490-46 TEST FREQUENCY: ❑ a.ANNUALLY.. ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-47. ... .................................................................................. . .... .. ...................................................................................................................................................................................................................................................................................................................... ❑ 5.VISUAL PIPE MONITORING. ago as. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 49049. °Allowed for monitorin of unburied emer enc enerator fuel pi in only er_HSC§25281.5(6X3] ................................................................................................................................................................................. ............................................ .. .... ........... _.......5............................................6_.......X..a...................................P.&.... .P.. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 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. ................................................................................................................................................................................................................................................................................................. ..............................................................................................._................_...................._.._.._............._....................................................................................................4. .2...... ❑ 99.OTHER(Specify) 490-53. UPCF UST-D(12/2007)-1/4 www.unidocs.org KCC G o-e-k a-ul t('�e 7-11�'!Z o 1 Z