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VF UNIFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK ONITORING PLAN - (Pae 1 of 2) TYPE OF ACTION ❑ I. NEW PLAN Z. CHANGE OF INFORMATION 490.1 PLAN TYPE MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(.S.)- I. FACILITY INFORMATION FACILITY ID # (Agency Use Only) _ I BUSINESS NAME (Same as FACILITY NAME) 3. BUSINESS SITE ADDRESS Z/jgoZIA C 103 CITY s�� 2i�N 104. II. EQUIPMENTS TE TING AND PREVENTIVE MAINTENANCE 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, 2638 264 1) MONITORING EQUIPMENT IS SERVICED A L NNUALLY F-199.OTHER (Specify): 490-3a 4903b M. MONITORING LOCATIONS ❑ 1. NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. . SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634)4904 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1. CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT 490-5 VAULT(S) WITH AUDIBLE AND VISUAL ALARMS. (23 CCR §2632,2634) SECONDARY CONTAINMENT IS: a. DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 490-6 PANEL MANUFACTURER: L1kx10V&t i IXI J- 4907, MODEL #: 490-8 LEAK SENSOR MANUFACTURER: 4909, MODEL #(S): - u 490-10 ❑ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S). (23 CCR §2643) 490-11 PANEL MANUFACTURER: 490-11 MODEL #: 49013 IN -TANK PROBE MANUFACTURER: 49014. 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 g.p.h. ❑ b. 0.2 g.p.h. ❑ c. OTHER (Specify): 49018 490-19 ❑ 3. MONTHLY STATISTICAL INVENTORY RECONCILIATION (23 CCR §2646.1): 490.20 ❑ 4. WEEKLY MANUAL TANK GAUGING (MTG) (23 CCR §2645). TESTING PERIOD: ❑ a. 36 HOURS ❑ b. 60 HOURS 490-21 490-22 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 49023 TEST FREQUENCY: ❑ a. ANNUALLY ❑ b. BIENNIALLY ❑ c. OTHER (Specify): 490.24 490-25 ❑ 99. OTHER (Specify): 490-26 490-27 V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490 -28 - VISUAL ALARMS. (23 CCR §2636) SECONDARY CONTAINMENT IS: OR91DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM 49029 PANEL MANUFACTURER: 11kx % LCI`% 490-30 MODEL #: 3 (-) L) 490-31 LEAK SENSOR MANUFACTURER: It 4131 MODEL #(S): ; ) 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. a. YES ❑ b. NO 49034 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. OK.. YES ❑ b. NO 49035 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 23 CCR 2636 49036 MLLD MANUFACTURER(S): 490-37 MODEL #(S): 49038 ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 49039 ELLD MANUFACTURER(S) 4900 MODEL #(S): 490-41 PROGRAMMED IN LINE LEAK TEST: ❑ 1. MINIMUM MONTHLY 0.2 g.p.h. ❑ 2. MINIMUM ANNUAL 0.1 g.p.h. 45542 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490.43 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a. YES ❑ b. NO 490-44 ❑ 4. PIPE INTEGRITY TESTING 49045 TEST FREQUENCY a. ANNUALLY b. EVERY 3 YEARS c. OTHERS i 490.46490-47 El5. VISUAL PIPE MONITORING. 490.48 FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MIN. MONTHLY & EACH TIME SYSTEM OPERATED- 490.49 • Allowed for monitoring of unburied emergency meraw fuel piping ordy pa HSC 25281.5(6 3) 6. SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR §2636(a)(3)1. 490-50 ❑ 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49051 ❑ 99. OTHER (Specify) 09081 49053 UPCF UST -D (12/2007) 1/4