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C, UNtr tru Mvu. v0-..vnovaua e.•,:,,., ..... UNDERGROUNDSTORAGETANKV MONITORING PLAN (Page 2 of 2) VL UNDER DISPENSER CONTAINMENT(UDC)MONMRING I. UDC MO NrrORING IS PERFORMED USING THE FOLLOWING METHOD -I.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY 113.ELECTRONIC STAND-ALONE 4.NO DISPENSERS ❑99.OTHER S ecify): PANEL MANUFACTURER: \.eC Qr— ro 410-11 , MODEL#: 36 C) 490'x. LFAKSENS02MANUFACTUREIt 2 —CaCrir 49057 MODEL#(S): Tqt-4 7HO490-94 .DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 121%&YES ❑b.NO 49°59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ;&a YES ❑b.NO a9oso. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES [3 b.NO 49"] UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a YES ❑b.NO 49osr 2.UDC aNSTRUCIION IS. M.SINGLE WALLED 112.DOUBLE-WALLED 490Q IF DOUBLE WALLED: 49 FIW UI1C INTERSTTITAL SPACE IS MONITORED BY: ❑I.LIQUID ❑2.PRESSURE ❑3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF TEM UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a YES ❑b.NO 490'M VII.PERIODIC SYSTEM TESTING 1. ELDTESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED LEAK QMMOMM MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS IRED. CCR 644.1) M2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49oaa 3.SPILL BUCKETS ARE TESTED ANNUALLY. 4�7 VIIL RECORDKEEPING The following monitoemfacility. records are kept for this facilit 'RAlamr logs 49asa. Uf Visual Inspection Records 49 t, ❑Tank integrity testing results 49059< ❑SIR testing results(and supporting documentation records). 49MM ❑ Tank gauging results(and supporting documentation records). 490-eac &ATG Testing results(and supporting documentation records).49o5ar ❑ Corrosion Protection 60-day logs 49 88 Equipment maintenance and calibration records. 4vosan IX.TRAINING ❑Personnel with UST monitoring responsibilities are familiar with all ofthe following documents relevant to their job duties. 41 a % REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(RetpuraD 494696 40 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Requved)49a690 _ ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4% d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49-6% ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490997 ❑ SWACB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49069a ❑ OTFIER(Specify):6469x, This facititybas a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST Operator-will train facility employees in the proper operation and maintenance ofthe UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: ➢ Operation ofthe UST systems in a manner coosistem with the facility's best management practices ➢ The facility employee's rule with regard to the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employee's role with regaidto spols and overfills as specified in the UST Response Plan ➢ Names ofoomact person(s)for emergencies and monitoring alarms.490-70 X. COM MNTSIADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.4W71 rl 2z @ qs�o XI,PERSONNEL RESPONSIBILITIES The UST Owner/Operator a responsible for ensuring that b)the daily/routine USE mondorng activities and manteoance of UST leak detection equipment covered by this plan occur,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The folio persm(s)are respo ible for perormng the monitoring and equipment maintenmce: p("NAME () 490-79%T1T[E kt!AJ 49077 NAME 490.7,( I'LE 490-75 The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up action XII OWNER/OPERATOR SIGNATURE CFRTMCATION:I certify that the informatiogprovided herein is true and accurate to the best of my Imowled e. PPLICANT SIGNATURE 49046 DATE: _ 4W77 aaean , ❑a: ourir<m'o�rr 49o-7s :<.APPLICANT TTl'LE: 490-79 APPLICAtTr NAME(print): UPCF UST;D(122007)3/4 -