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NIFIED PROGRAM CONSOLIDATED FOR UNDERGROUND STORAGE TALK MONITORING PLAN - (Page I of 2) TYPE OF ACTION ❑ 1.NEW PLAN 2,CHANGE OF INFORMATION 490-1. PLAN TYPEl.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. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1 BUSINESS NAIv (Same as Facility Name or DBA) 3' -S f tL 1 ,111 BUSINESS SITE ADDRESS 103 CIT( [ 104. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes.Linc leak detectors,etc)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever i5 more frequent.Such work must be13erformed by qual i hed personnel.[21 CCR§2632,2- 634,2638,2641] - -- MONITORING EQUIPMENT IS SERVICED I.ANNUALLY El99.OTHER(S ecit 490-3a P Y) 490-36. Ill. MONITORING LOCATIONS ❑ I NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN LVI SITE PLOT PLAN/MAPPREVIOUSLY SUBMITTED [23 CCR§2632.2614[ 490-4. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (h"ec Ill 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACF(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5 WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632.2634] SECONDARY CONTAINMENT IS: ❑ a.DRY Xb.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6 PANEL MANUFACTURER: VT--&>rte- dT' 490-7 MODEL#: 'T'L & - .S��U 490.8. LEAK SENSOR MANUFACTURER: %f A-r-h T%A_ 11 s s-; 490-9 MODEL#(S): ca Z, 490.10. ❑ 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK 5 .[23 CCR§26431 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14, MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490.17. PROGRAMMED TESTS: ❑ a.0,l h. Elb.0.2 h. F] c.OTHERS ci 490-I8. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1) 490-20. -__.-,_.____,-_.... -------._.-_-- 21. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)123 CCR§2645] TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22. El5.TANK INTEGRITY TESTING PI:R 1'3 CCR§2643 1] 89823. _TEST FREQUENCY: ❑ a.ANNUALLY b.BIENNIALLY ❑ e.OTHER(S ci 490-24. Q ❑ Pc__fy); ....._.... 490-26. ❑ Q9.OTHER(Spec4l ) 490-27_ V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS (Cheek all ( � that a !v) I.CONTINUOUS MONITORING OF PIPEIPIPING SUMP(S)AND OTFIER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 49p-28. I§2 36j SECONDARY CONTAINMENT IS: a.DRY F1 b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 890-29. PANEL MANUFACTURER: y&Cy;S ft ll(, /10 0'r" 490-30_ MODEL#: :2 jib 490-31. LEAK SENSOR MANUFACTURER: J rtl�tl>J A-> 0-r 490-31 MODEL#(S): 2--0I 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑ a.YES;(b.NO 490-34. 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.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-16. PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§26361 MLLD MANUFACTURER(S): 490-37. MODEL#(S): 490-38. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26361 490-39. ELLD MANUFACTURER(S): 49040. MODEL#(S): 49041. PROGRAMMED IN LINE LEAK TEST' ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-44. ❑ 4.PIPE INTEGRITY TESTING. 490-45. _ _ST FREQUENCY: ❑ a.ANNUALLY [3b.EVERY 3 YEARS ❑ c.OTHER4e0a6, TE ----------..__-__---___ _..,,_...,..-..._ (Specify) .890-47......._ ❑ 5.VISUAL PIPE MONITORING. 49048. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49. *dllowed For monimfing of unburied emer-gencXjqeoerator fuel gipm er HSC tt25381.5(bx3�_ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(8)(3)1 490-50. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51490-52. ❑ 99,OTHER(Specify) . 490-53.-53. UPCF UST-D(12/2407)-114 www.unidocs.org