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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN — (Pae 2 of 2) (Chekall VI. UNDER DISPENSER CONTAINMENT(UDC)MONITORING thata p ly) hala UDC MONITORING IS PERFORMED USING THE FOLLOWING METHODS) ® 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54a ❑ 4.NO DISPENSERS _ _ 099.OTHER(Specify) —i" LEAK MONITOR MANUFACTURER:Veeder-Root t96-52 MODEL#:TLS-350 49056. LEAK SENSOR MANUFACTURER:Veeder-Root 190.57. MODEL#(S):208 490-58' DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a.YES ❑ b.NO 490-59. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 49060. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-61' _ UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a_YES ❑ b.NO 490-62 UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2.DOUBLE WALL 490-6J. IF DOUBLE WALL: 490�64a UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 4sa 64b. VII. PERIODIC SYSTEM TESTING ❑ L ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49065. LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.Iv CCR32W.11 ® 2. SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49066 ® 3. SPILL BUCKETS ARE TESTED ANNUALLY. 49067. VIII. RECORD KEEPING The following monitoring/maintenance records are kept for this facility: 490-66. ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ a TANK INTEGRITY TESTING RESULTS ❑ it.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) ❑ E ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING 490-69a ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: REFERENCE DOCUMENTS MAINTAINED AT FACILITY': (Check all that apply) 490-69b. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 49046 ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69 ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69r 490-69g. OTHER(S t . ElPco fY): 490-6m49069L This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code 49070. Council(ICC). The "Designated UST Operator"will train facilityemployees 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 overt-ills as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. 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. 49047L UST TURBINE(STP),FILL&UDC SUMPS MONITORED BY VEEDER ROOT SENSORS 208.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR DOUBLE WALL TANK(S)WITH IN-TANK Veeder-Root MAG PROBE.OVERFILL PREVENTION METHOD:External Alarm set at 90%.EVR ISD Software Installed. 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 the indicate a2oossible release are investigated;and 3)all monitoring records are maintained ero�er __ _ ___________ THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Patty 4W-12 TITLE: Manager 490-73. NAME: Maria 4%-74 TITLE: Asst Manager 490-95, The Designated UST 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 fallow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best otmy knowledge. APPLICANT SIGNATURE DATE: 49047. ate, 02/1112011 REPRESEMMG:®t.TWr Pamal ar O 2.Facitil Oviar/ ror❑J.AutMr¢d Represenmdve ofgwner 490-]6. APPLICANT NAME(print): 490-M APPLICANT TITLE: 49049, Chevron Products Co./Charles Bittle Chevron Retail HES Permit Desk fArenry nee only) TLlr form bee revkwM and: AN ,d Appmvedxnh Cnn ti Dtvpp M LJ Last As.,,Massie.. h° I�J.a �I Dau: ZT coo,�..e.r sp.da uomn.o.. !��''