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NIFIED PROGRAM CONSOLIDATED FORA '•` UNDERGROUND STORAGE TANK " q�.' MONITORING PLAN-(Pae 1 of 2) A - - � 490-1 TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. AARK f 4 0112490.2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSFEM(97- _ I. FACILITY INFORMATION 1 FACILITY ID#(Agency Use Only) F A Q -IEA O� A U Q✓ 2 BUSINESS NAME(Same as FACILITY NAME) BUSINESS SITE ADDRESS10. CITY �lSb • 9 . c�T-Yv Kex. LN H.EQUIPMENT TESTING 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 2641 4903. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490.3b IH.MONITORING LOCATIONS ❑ I.NEW SITE PLOT PLAN/MAP SUBMfITED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49ca IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S); L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 4"0-5 VAULTS)W ITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) 49os SECONDARY CONTAINMENT IS: �,a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACWM ----- ------------ _ ---- - - -a9o-a PANEL MANUFACTURER: --_° ] MODEL#: L� L MODEL#(S): 490.10 LEAK SENSOR MANUFACTURER: ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTE USED TO MONITOR SINGLE WALL TANK(Sl (23 CCR§2643) 690-11 490.12. MODEL#_ 490,0 PANEL MANUFACTURER_ _--__ _ - ---- ago-t0-. MODEL#(S): 494i 15 1N-TANK PROBE MANUFACTURER: __ -- LEAK TEST FREQUENCY: ❑ a.CONTINUOUS [3b.DAILY/NIGHTLY F c.WEEKLY 490-16 490-I] ❑ d.MONTHLY ❑ e.OTHER(Specify): ---- - - 490.18 PROGRAMMED TESTS: ❑ a 0.1 g.p.h. I b.0.2 g.p.h. ❑ c.OTHER(Specify): 490,19 490.20 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.21 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURSesp22 5,TANK INTEGRITY TESTING(23 CCR§2643.1): 490,23 TEST FREQUENCY: RL a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 425 490-26 ❑99.OTHER (Specify): 490.27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWINGrMETHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SOMP(S)AND OTHER SECONDARY CONTAINMENT W ITH AUDIBLE AND 490-2s VISUAL ALARMS. (23 CCR§2636) 490-29 SECONDARY CONTAINMENT IS:HI&DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 490.30 MODEL#: ML 49x31 PANEL MANUFACTURER: n,,,,� 49a3z MODEL#(S): 490-33 LEAK SENSOR MANUFACTURERS _-'-"�___ 490-34 PIPING LEAK ALARM TRIGGERS AUIUMAI R;Furvlr it.e.,TURBINE)SHUTDOWN. a.YES ❑b.NO FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑b.NO 49o-3s 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 DETECTED490.3(23 CCR§2636 )_-_ 490-36 ----- 490-38 MLLD MANUFACTURER(S): VOPI MODEL#(S): ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THA T ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 _-_--_ - 490.40. MODEL#(S)S 49041 ELLD MANUFACTURER(S) __- --- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. a9oaz ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 11a YES Elb.NO 490.43 ELLD FAILURE/DISCONFIECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑e.YES ❑b.NO 09044 IQ 4.PIPE INTEGRITY TESTING 490.45 TEST FRE UENCY in a.ANNUALLY b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-464904] Lj S.VISUAL PIPE MONITORING. 490d8 FREQUENCY ❑ a DAILY ❑ b.W EEKLY`❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 490.49 •A11mvd for monitoting orwburied ema,,aicy wmtm fuel ejejn8 m[y W HSC 25281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. a9aso 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 490.52 ❑ 99.OTHER(Specify) 490-53 UPCF UST-D(12(2007)I/4