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INIFIED PROGRAM CONSOLIDATED FORK UNDERGROUND STORAGE TANK MONITORINGPLAN (Page2of2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54 490-546 10 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4.NO DISPENSERS99.OT R(S eci : PANEL MANUFACTURER: �'�.� MODEL R: S —:Z) 490-56. LEAK SENSOR MANUFACTURER: L( 490-57 MODEL#(S): 3"- ZO'y 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS &a.YES ❑b.NO 4W59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN 19p a.YES ❑b.NO 490° FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Iff a.YES ❑ .NO 49061 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES b.NO 49o.62 2.UDC CONSTRUCTION IS OLSINGLE-WALLED X72.DOUBLE-WALLED 490-63 IF DOUBLE WALLED: 490-64a UDC INTERSTITIAL SPACE IS MONITORED BY:_W.LIQUID ❑2.PRESSURE ❑3.VACUUM _ A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS nQ.YES ❑b.NO VII.PERIODIC SYSTEM TESTING L ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65_ LEAK DETECTION(ELDI MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49 .SPILL BUCKETS ARE TESTED ANNUALLY. a9osr VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility: Alarm logs 49o-633 ❑Visual Inspection Records 490-686 ❑Tank integrity testing results 490s8c SIR testing results(and supporting documentation records). 490bgd ❑ Tank gauging results(and supporting documentation records). 49o.6ae ❑ATG Testing results(and supporting documentation records).49o-6af ❑ Corrosion Protection 60-day logs 49 89 1;3)Equipment maintenance and calibration records. 490s8h LY.TRAINING 9-'Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-693 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490 % Q OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49o-69c ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS e9069d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW a9 % ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"a9a69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490698 ❑ OTHER(Specify):M69h,M69i Pg This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST Opemtoe'will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: • Operation of the UST systems in a manner consistent with the facility's best management practices • The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan • The facility employee's role with regard to spills and overfills as specified in the UST Response Plan • Names of contact persons)for emergencies and monitoring alarms.490-30 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 E- Art-�Ow,.w 6211:36170 eiAlrz XI-PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following erson(s)are sponsible for erforming the monitoring and equipment mainten e: NAME 490-72 TITLE 49o.71 NAME 490-04 TITLE 49o75 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 CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICA NA 49x76 DATE: 490-77 n� r 3 Authorjndai= 4 3 2- APPLICANT APPLICANT NAME(print): 090-08 APPLICANT TITLE: 490-39 '\ �_- UPCF UST-D(12/2007)314