BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

� s UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN—(Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING (Check au that UDC MONITORING IS PERFORMED USING THE FOLLOWING MET HODS) ® L CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4B 5s ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 4W54a. LEAK MONfrOR MANUFACTURER:Veeder-Reot °sass. MODEL*-.TLS-$SO 490.%� LEAK SENSOR MANUFACTURER:Veeder-Root 151. MODEL#(S):794380-209 +vase. DET'ECT'ION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a.YES ❑ b.NO °9x59. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO asaeo. FAILURFIDLSCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 4vasn. UDC MONITORING STOPS THE FLOW OF PRODUCT ATTHE DISPENSER I@ L YES ❑ h No ' UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2.DOUBLE WALL IF DOUBI.FWALL: asassa UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ Is.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO d90."a VII. PERIODIC SYSTEM TESTING 1.ELD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED °sass. MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.I' ccx ssdu_i ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. ® 3.SPILL BUCKET'S ARE TESTED ANNUALLY. °9�T VIII. RECORD KEEPING The following rnonitoringlmaintennce secads are kept far this facility: aid. N a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS ❑ d.SBR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation roads) ® E ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING Personnel with UST monitoring responsibilities ase familiar with all of the following documents relevant to their job duties: 4sasa. REFERENCE DOCUMENT'S MAINTAINED AT FACILITY(Check all that apply) I@ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) sorsa. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) Ssasx. ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49 . ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f. STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICA11ON:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" rafasa. 4vassn. ❑ 077TER(Specify): 490,sw. This facility has a"Designated UST Operator'who has passed the California UST System Operator Exam administered by the International Code Council 4sa70. (ICC). The "Designated UST Operator'will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of him.This training will include,but is nor limited to,the following: ➢ Operation of the UST systems in a manna consistent with the facility's bat management practices. ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. Y The facility employee's rale with regard to spills and overfills as specified in the facility's UST Response Plan. Y Name(s)of contact penoo(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 as attached to this plan. asoti. Ovarf111protection-Rapper XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible far ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST Ink detection equipment coverad by this plan occurs;2.)a6 conditions&at indicate a possible release are investigated;and 3.)all monitoring records ate maintained THE FOLLOWING PERSONS)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Ian Moorhead 190.12, TTTLE:Environmental Compliance Manager NAME: Jivtesh Gill aW74 TITLE:Franchisee 49 71. The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operxmr of any conditions that need folio.-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledgIc APPLICANT SIGNATURE DATE: a90''^. REPRF56 GI.Tva Owner a 3.Fxile Owns wr ).Na r¢m a urOwm 390.75. 0-`t Z APPLICANT NAME(print): 49 78. APPLICANTTTnE: 4voro. Ian Moorhead Env. Compliance Mgr. UPCF UST.D(12/2007)•3/4 www.unidomorg