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tTrIF1ED PROGRAM CONSOLIDATED FOR, UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 1 of 2) TY^E OF ACi',ON El1.NF--PLAN 2 CHANGE OF INFORMATION 490-1 PLAN TYPE ).M&AITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 190 p-�Checl one item only) 'j 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- 1. FACILITY INFORMATION FACILITY ID#(agenc),Use Onl,) A ==1 - - I BUSINESS NAME(Same as FACT ITY NAME) 3. BUSINESS SITE ADDRESS S 103 CITY P-0-- n c-k, 1" II.EQUIPMENT TESTING AND,PREVENTIVE MAINTENANCE Testine,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§2632,2634,263&26-41) MONITORING EQUIPMENT IS SERVICED 14 1.ANNUALLY ❑ 99.OTHER(Specify): 190-3b III.MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2-SITE PLOT PL4N/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49u-s IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(IN'TERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 49,>_5 VAULT(S)WITH AUDIBLE AND VISUAL 4LARMS. (23 CCR§2632 2634) SECONDARY CONTAINMENT IS: a_DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM J901-4 --- -- -- -- --- - -- - - ••--•---- --------------------------------- J90.7, i J11�-8 PANEL MANUFACTURER: V 1r-9,A--e---- -�- t MODEL#: t,� - - - - ------- --------------------- LEAK SENSOR MANUFACTURER: t 4 I l 49--•-- -MODEL#(S): ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-I1 PANEL MANUFACTURER 490.13 MODEL#: 490-13 -----IN-TANK PROBE MANUFACTURER: 490.1; MODEL#(S) -_ 490-13 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490'(6 ❑ d.MONTHLY --❑_e.OTHER(Specify): JI(1 17 PROGRAMMED TESTS: ❑ a.0.1 g-p.h. ❑ b.0.2 g.p-h. ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-ZD ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a-36 HOURS ❑ b:60 HOURS 490-'-1 J90--!, i' 0 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 190-3 ✓ TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): JJQ-25 1%-26 ❑99.OTHER (Specify): 4W27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) jjg 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT M-14a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM J911'79 PANEL MANUFACTURER: --�- 490.30 1 MODEL#: 90-3t 4 LEAK SENSOR MANUFACTURER: t} ! 490-32 i MODEL#(S):-- O +90 3, --- --- - --- ---------------------- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. *&YES a b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑b.NO 490-3' 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TEST9 AND RESTIUCTS OR SHUTS OFF PRODUCT FLOW WHEN iA LEAK IS DETECTED(23 CCR§2636L---_--- 1h1-36 ---------------- MLLD MANUFACI URFR(S):. 1W'? MODEL#( _ a9<7 s ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLd)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR 636) 490.39 49---- - - .---- - -=--- - ELLD MANUFAcl-UkER(S) 490 10' i MODEL#(S): 49ti'1 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-13 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 4.PIPE INTEGRITYTESTING4%"s TEST FREQUENCY ❑ a.ANNUALLY 0 b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046-4 Ll 5.VISUAL PIPE MONITORING. FREQUENCY ❑.a.DAILY ❑.b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED• ':Allen and for nmitorin unburied ma- or fud.- *Wv HSC 25MI.5(bl(31, ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(ax3)]. 7.NO REGULATED PIPING PER HEALTH,AND SAFETY CODE,DIVISION 20,CHAPTER 6.71S ONN CTED TO THE TANK SYSTEM 490-51 Q 99.OTHER(Specify) ti- { ,�, JUN 2 4 Z0116 \ UPCF UST-D(128007)1/4 \ �'t