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"NIFIED PROGRAM CONSOLIDATED FORM RECEIVED UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 of 2) q AR 3 2011 490-1 . TYPE OF ACTION d 1. NEW PLAN ® 2. CHANGE OF INFORMATION PLAN TYPE I3 1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. SAN A COUNTY 490-2 (Check one item only) [32. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( $)- PAQQr lr L 'j, I .,.��i1 :;,FAGILITYINFORMATION`;'1� '� , „i - ,.r., , i r FACILITY ID # (Agency tie Only)- i !`' t -' e.; BUSINESS NAME (Sameas FACILITY NAME) Stockton Gas # GSEP 3. BUSINESS SITE ADDRESS 322 South Center Street 103 CITY Stockton I04. 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, 2631, 2641 - -_- -_ -- -- - ___-- -- - - - - - --- -- - - -- - - - - - ----a - -- - - - --_� - MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY ❑ 99. OTHER (Specify): 490-;6 it ajP:S,, jl f ,x;, ' �`3 a'll;t:'1+� ' 1 i4 ,,,I,,..;;.t> ;. :N ,�,�;xtrI`.,,III MONITORING LO-ATIO li t6� ktflal4t i t _v4� - ® 1. NEW SITE PLOT MAN/MAP SUBMITTED WITH THIS PLAN. ❑ 2. SITE PLOT PLAN/,-81AP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)490-4 ISPERFORMED;;USING THE FOLLOWINGe;)1IETH'OD ti'`.;I,' "1 ® 1. CONTINUOUS ETI'CTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT 490-5 VAULT(S) WITHAUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: ® a. DRY El b. LIQUID FILLED C1 c. PRESSURIZED [Id. UNDER VACUUM 0-90-6 ----------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------- 490-7. PANEL MANUFACTURER: Veeder Root MODEL #: TLS -350 LEAK SENSOR MANUFACTURER: Veeder Root 490'9I MODEL #(S): 794390-409 49°-l0 ❑ 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 PROBE MANUFACTURER: 490-14. MODEL #(S): 490 -Is -- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY w_-1 490-16 ❑ d. MONTHLY ❑ e. OTHER (Specify): 490-17 - - -- - - - --- - - --- - --- - - - - - ------------------------------------------------------ PROGRAMM13DTESTS: ❑ a. 0.1 h. ❑ b. 0.2 h. ❑ c. OTHERS eci g.p.h. g.p.h. (Specify): 49018 490-19 ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490-20 4WEEKLY MANUXL TANK GAUGING MTG 23 CCR 2645 TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS E]. ( ) ( § )• 490-21 490-22 ❑ 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 490-23 490 24 TEST FREQUENCY: Ela. ANNUALLY F1 b. BIENNIALLY El c. OTHER(Specify): S eci a90-zs ® 99. OTHER (Specify}: Simplicity 490-26 490-27 METHODS) (Ch`ecklall that apply) ; " t' M4jVITORING:IS,PERFORMED VSING;THE FOLLOWING , ® 1. CONTINUOUS I%MITORING OF PIPE/ PIPING SUDiP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23CCR §2636) SECONDARY COIAINMENT IS: ®a. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM N 490-z9 ------------------------------------------------------------------ ---------------------------------------------------------- 490-30 PANEL MANUFACTURER: Veeder Root MODEL #: TLS -350 490-31 - _ -- --------------------- - -- - - - - - 490.32 LEAK SENSOR MANUFACTURER: Veeder Root MODEL #(S)_ 794380-208 -- 490.33 -- - --- - -- _ _____i_ - --- - - - - ------------- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. ® a. YES ❑ b. NO 490 J4 FAILURE/DISCONWZrION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a. YES ❑ b. NO 490-35 ® 2. ,NIECHANICAL LINE LEAK DETECTOR (INILLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF FLOWi�1HEN A LEAK IS DETECT ED (23 CCR J2636) ---------------------------- ----------#(S): 490-36 _ -PRODUCT - - ------------ (- 49017 MODEL #(S): (87) 490-3s MLLD MANUFACTURER(S): (87) Vaperless / (91) FE Petro 91 STP -MLD STP- ❑ 3. ELECTRONIC LPIE 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 BILINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 0-90-42 ELLD DETECTIONOF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 49043 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-44 ❑ 4. PIPE INTEGRITVTESTING 490-x5 TEST FREQUENCY ❑ a. ANNUALLY ❑ b. EVERY 3 YEARS ❑ c. OTHER (Specify) 490-46490-47 ❑ 5. VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ c. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- 490-49 • Allowed for monitoringetunbuned emergency generator fuel piping only per HSC 425281.5(6)(3 NMIEET ❑ 6. SUCTION PIPIT MEETS E�CEIPTION CRITERIA�123CCR §2636(a)(3)I. ago -so S REGPER HEALTH AND SAFEE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO TILE TANK SYSTEM 490-51 ❑ 99. OTHER (Specify) 490-52 ago -s3 UST Response Plan (3/2=) 3/3