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UNIFIED PROGRAM CONSOLIDATED FORD" UNDERGROUND STORAGE TANK MONITORING PLAN- Pse 1 of 2) TYPE OF ACTION o1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490.1 PLAN TYPE ❑ L 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. FACHdTY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) 11'&AI W6 3_ BUSINESS SITE ADDRESS Q L4 f>(-QV 103- CITY ioa_ H.EQUIPMENT TEATG 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 MONITORING EQUIPMENT IS SERVICED [9P.ANNUALLY ❑ 99.OTHER(Specify): 490-36 III.MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 634 90< 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 .LIQUID FILLED [Ic.PRESSURIZED .UNDER VACUUM 490.6 PANEL MANUFACTURER: F.fp -r _ 49D-m MODEL#: 'TL S- 3 4904 LEAK SENSOR MANUFACTURER: d5 490-9 MODEL#(S): 74q 3 C- 6-7 "I 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 49012. MODEL#: 490.13 IN-TANK PROBE MANUFACTURER: 49014. MODEL#(S): 490615 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ 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): 49014 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2616.1): 49020 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS amu 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ K BIENNIALLY ❑ c.OTHER(Specify): 49024 490-25 ❑ 99.OTHER (Specify): 49026 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 49024 ISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS. a DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED .UNDER VACUUM 490-29 PANEL MANUFACTURER: �, r 490-30 MODEL#: 49031 LEAK SENSOR MANUFACTURER: ti 412 MODEL#(S)- 33007W "485 Li490.33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. Ela.YES ❑b.NO V419900-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-35 ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.pJL LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 490-36 MLLD MANUFACTURER(S): 49037 MODEL#(S): 49034 3.ELECTRONIC LINE LEAK BETE TOR(FLED)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 ELLD MANUFACTURER(S) rL�f��- - 49040. MODEL#(S): + DO/ 49 1 PROGRAMMED IN LINE LEAK TEST: Y-' 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. Epa.YES ❑b.NO 490'43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. YES ❑b.NO 4900 4.PIPE INTEGRITY TESTING 490<5 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS 0 c.OTHERS i 490-4649047 ❑ 5.VISUAL PIPE MONITORING. 49040 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED- 49049 -Mtm fa mmi . of wbmn emmmy ammtm W Piping mly W HSC§25281.5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(s)(3)1. 49050 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 .O 49052 C] 99. (Specify)h') 4W33 UPCF UST-D(12/2007)1/4