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rrNIFIED PROGRAM CONSOLIDATED FOAL UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 1 of 2 TYPE OF ACTION 1.NEW PLAN ❑ 2-CHANGE OF INFORMATION �- PLAN TYPE (J71.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 490.z (Chore k Ms Item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACHX Y ID#(Age WeUse Only) BUSINFSS AME(Some as Focili Nmne or DBA) y AJ BUSINESS Sl fE ADDRESS r03. CITY 3N t o Cc C-4'�b 54> 12 / 670 N II. 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 fiequency specified .by the equrment-manufacturers'inshuctiotz�or annually.whichever is mom fir mm-Such work m rformed.�_gwltBed_ Omrel.Izt ccte yz63z zraa zun,zwtl MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99-OTHER(Specify): ~b, III. MONITORING LOCATIONS ❑ "EW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN [$�2-SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED R3 ccn l zwz zm4l IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) " ck°u CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTE2STITFAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[D CCR 1zs3z 20 1 SECONDARY CONTAINMENT IS:: f ❑ a.DRY W b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 690b PANEL MANUFACTURER y!i D�-�&/L RsQaa T 497. MODEL M l Lg -3 J�� 49oa. LEAK SENSOR MANUFACTURER 490.9 MODEL#(S): ?4,434b a90.fo. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).ID cm 12sa31 -49ar 1. PANEL MANUFACTURER 49o-11 MODEL#: 4W13 IN-TANK PROBE MANUFACTURER: 490.14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAILY/NIGHTLY490-16. ❑ c-WEEKLY ❑ d.MONTHLY ❑ a OTHER(Specify): 4 IT PROGRAMMED TESTS: ❑ a 0.1 g.p.h- ❑ b 02 gp h ❑ a OTHER(Specify): 4 49 1& Q 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION ID catyxuatl Oso-zo. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)In c,R 1z64s1 - TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS4 4W21. Wn ❑ 5.TANK INTEGRITY TESTING PER(D CCR 12643.11 - - 4WD_ TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ a OTHERS 490.x4. a90.D. ❑ 99.OTHER(Specify): 490-26. a9an V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "'`c apply)° 1.CONTINUOUS MONITORING OF PIPE(PIPING SUMP(S)AND OTTTER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 49 29. 14�C3C6R SECONDARY CONTAINMENT IS: a.DRY b.LIQUID FILLED 496-29. 1 ��5 AAA � n❑� Q ❑ c.PRESSURIZED �d.UNDER VACUUM PANEL MANUFACTURER �s-a U�G-T 490-30. MODEL#: TG-$ 3 690"11. LEAK SENSOR MANUFACTURER f_g_o 490-31 MODEL#(S): 8 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(ie,TURBINE)SHUTDOWN. 7q q3p 4;Vr ❑ a.YES ❑ b-NO 49 3,t FAILURE/DISCONNECT]ON OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO 49P35. ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-34 PRODUCT FLOW WHEN A LEAK IS DETECTED.ID ccRim6l MULD MANUFACT IRER(S): 490-37. MODEL#(S): 490-39. EjP 3.ELECTRONIC LINE LEAK DETECT`gp!R(ELLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS.[23 CCR§21wj 490-39. Ft t n MANUFACTURER(S}. WADf _' aop� a90'0 MODEL#(S): 9 4B 4100 -029 ( PROGRAMMED IN LINE LEAK TEST: ❑ a MINIMUM MONTHLY 01 gp.h. ❑ b.MINIMUM ANNUAL 0.1 gp.h. 49 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. [lea.YES ❑ b.NO 490-43. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. { a YES ❑ b.NO 49oa4 ❑ 4.PIPE INTEGRITY TESTING. 49 5. TEST FREQUENCY: ❑ a ANNUALLY Q b.EVERY 3 YEARS ❑ c-OTHER(Specify) 09DI9� ❑ 5.VISUAL PIPE MONITORING. 49o-4s. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C MIN.MONTHLY&EACB TIME SYSTEM OPERATED- 49049 •Apowad T2pibweofimlwied®vamry_g Mag, ,paeemypmr6C§2528r.s%j(3j_, [16.SUCTION PIPING MEETS EMAPTION CRnElM.[n ttx lxewl lop 490.50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.719 CONNECTED TO THE TANK SYSTEM. 49051. ❑ 99.OTHER(Spec" ) 490.52. 690 53, UPCF UST-D(12/2007)-1/4 www.unidocs.org