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C UNIFIED PROGRAM CONSULLUALB"rum- UNDERGROUNDSTORAGETANK. . MONITORING PLAN- Psge 1 of 2) 49x3 TYPE OF ACTION ❑ 1.NEW PLAN *;9�2.CHANGE OF INFORMATION 490.2 PLAN TYPE1.MONITORING IS IDENTICAL FOR AIL LISTS AT THIS FACILITY. one ikm only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( ' wk - I. FACII TP V INFORMATION i FACILITY)p#(Agency Use Only) t 3. BUSINESS NAME(Same as FACILITYNAME) 103. 1�. BUSINESS SITE ADDRESS �.a CITY IL EQUIPMENT STING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(c.g.,sensors,probes,byte leak detectors,etc.)must be perfo2medd e��L specified by'ihe equipmmt manufacmms'mslructions,or annually,whichever is mom Sequent,and that such work must be performed by qualified 23 OCR§2632,2634,2638,2641) 490.3. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 4943b NIL MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH TRIS PLAN. L SITE PLOT PLANWAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)4904 IV.TANK MONITORING IS PERFORMED USING THE VOLLOWING METHOD(S): a94s 1.CONIIN[JOUS ELECTRONIC TANK MONIMI OF ANNULAR ffia:ERSTIITAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) 4966 INM SECONDARY CONTAENT IS: %&DRY DRY ❑ b.LIQUIDFILLED ❑ o.PRESSUREED ❑&UNDER VACUUM 49M PANEL MANUFACTURER: V r a9o-z MODEL#: TL-S- rJC7 411 LEAK SENSOR MANUFACTURER- e P C 490.9.�' I MODEL--ux (� 't-I a O 4 11 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WAL WTANKlSN.(23 CCR§2643) 490.13 PANEL MANUFACTURER ll MODEL#: 494-la. 49a-IS ICJ-TANK PROBE MANUFACTURER: MODEL#(S): b.DAH.Y/AIIGHTLY ❑ c.WEEKLY 49x16 LEAK TEST FREQUENCY' ❑ a CONTINUOUS ❑ 490.17 ❑ &MONTHLY ❑ e.OTHER(Specify): 49418 PROGRAMMED TESTS: ❑ a 0.1 gp b. ❑ b.02 gplL ❑ c.OTHER(Specify): 49419 a94z0 _ 3.MONTIHM STATISTICAL INVENTORY RECONCHLLITION(23 CCR§2646.1): 4.WEEKLY I/TANOAL TANKGAUGING(MIG)(23 CCR§2645). TESI'INGPERIOD: ❑ &36 HOURS ❑ b..60 HOURS ate, 49053 ❑ 5.TANK INTEGRITY T8S14NG(23 CCR§P2643.1): - - 49424 TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BUNNIALLY ❑ c.OTHER(Specify): 49424 .9426 ❑99.OTHER (specify): 69037 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METROD(S)(Check all that apply) 49428 N.CONTINUOUS MONITORING OF PIPE/PIPING SUMOTH PS)AND ER SECONDARY CONTAINMENT WITH AUDIBLE ANTI VISUAL AI ARMS. (23 CCR§2636) 4942 SECONDARY CONTAINMENT IS:&.DRY ❑b.LIQUID FB.LED ❑c.PRESSURIZED ❑d UNDER VACUUM 49431 49439 , MODEL#: �v - PANE].MANUFACTURER: V �( '" `(- 190-32I 490.33 LEAK'�SENSOR MANUFACTURER: - Qty - MODEL#(S): 490-34 PIPING LEAgALARM TRIGGERS AUTOMATIC PUMP(i-C,TURBINE)SHUTDOWN. Ata YES ❑b.NO 490-35 FAILIMRB/DISCONNEfMOM OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. R;a YES ❑b.NO 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3A g p.h.LEAK TESTS AND RESTRICTS ORSHUT OFF PRODUCT FLOW WHEN A LEAK IS DETECTED CCR 490-37 49436 MILD MANUFACTURER(S)7 - - Q MODEL#(S): ' ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT R UTINELY PERFORMS 3A gp.h.LEAK TESTS (23 CCR§2636) 49439 490.46. 49041 E ID MANUFACTURER(S) MODEL#(S): 49042 PRCGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 02 g.p.b. ❑ 2.MO�IMIIM ANNUAL 0.1 g.ph. - 49443 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑&YES ❑b.NO 49044 ELLD FARAREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. [I a YES ❑b.NO Ej 4.PIPE INTEGRITY TESTING 49 4s -49446490-47 TESTFREQUENCY ❑ a ANNUALLY ❑ b EVERY 3 YEARS ❑ c.OTHERS 490.46 5.VISUAL PR'E MONITORING. FREQUENCY E] &DAILY [Ib.WEEKLY ❑C.MIN.MONTHLY&EACH nhE SYSTEM OPERATED- x94.9 7 AH.a.dfm . a..be . fuel ! a.I HSC 1.5 490.50 6.SUCTION PIPING MEETS EXEMPTION CRITERIA(23 CCR§2636(.0 c...INGPER'I.3EAI.TIIAND:SAEEPP_:. ._ :. _fe :.,4',,,�,'.• . .E 'SYSTBM ❑ 99.OTHER(Specify) .99-53 UPCF UST-D(138007)1/4