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ED PROGRAM CONSOLIDATED F <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - (Page 2 of 2) <br /> VI. UNDER DISPENSER CONTAINMENT (UDC)MONITORING (Check all <br /> that apply) <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ® I.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-548. <br /> ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 49a54b. <br /> ......_____. ..._...___ .-_......._,_.._. ... ............-__... ...__.. <br /> LEAK MONITOR MANUFACTURER:Veeder Root 4m-55' MODEL#:TLS-350 a9n-56. <br /> LEAK SENSOR MANUFACTURER:Veeder-Root 491-57. MODEL#(s):794$80-208 490-58. <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. E a.YES ❑ b.NO 490-59. <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a.YES ❑ b.NO 490-10- <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E a.YES ❑ b.NO 490-61. <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. E a.YES ❑ b.NO 497-62' <br /> _............. .___.......... ............._..._ ,..-----..............._. . .-__.. <br /> DEC CONSTRUCTION IS: E 1.SINGLE WALL ❑ 2 DOUBLE WALL 4W 63' <br /> IF DOUBLE WALL: 490-Ma. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND V ISUAL ALARMS. ❑ a.YES ❑ b.NO 590"64b. <br /> VII. PERIODIC SYSTEM TESTING <br /> ❑ 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23 ccR§2644.i <br /> E 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. <br /> E 3,SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. <br /> VIII. RECORD KEEPING <br /> The following monitming/maintenance records are kept for this facility: 490-68. <br /> E a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c.TANK INTEGRITY TESTING RESULTS <br /> ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) <br /> E f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> E h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> IX. TRAINING <br /> E Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to thew job duties: 490-698. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> E THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 49 696. <br /> E OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-6kc. <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-68 <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 4%691. <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> El SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-699' <br /> ❑ OTHER(Specify): 490 69h. <br /> 490-69t. <br /> E This facility has a`Designated UST Operator'who has passed the California UST System Operator Exam administered by the International Code Council 490-70. <br /> (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of Erre.This training will include,but is not limited to,the following: <br /> D Operation of the UST systems in a manner consistent with the facility's best management practices. <br /> D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br /> ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. <br /> ➢ Name(s)of contact persons)for emergencies and monitoring alarms. <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 49671. <br /> Overfill protection-Flapper <br /> XI. PERSONNEL RESPONSIBILIT ES <br /> The UST Owner/Operator is responsible for ensuring that l.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br /> b [his lar occurs 2) <br /> all . . _ ._ ----.._.a_nd 3)all rro.ni_tod.n _ecords..are m..a...in. tai.n...e..d.. roPerll <br /> --_-.. ------t ..d .� e __ <br /> THE FOLLOWING PERSONS)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE. <br /> NAME: Ian Moorhead 171 TITLE:Environmental Compliance Manager 490-73. <br /> NAME: Jivtesh Gill 490-44TITLEFranchisee 4%75 <br /> The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and infomr the owner/operator of any <br /> conditions that need follow-up action. <br /> XII. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 9 y 490-77. <br /> REPRESF.NTWG: 1.TaNc Owner/O razor❑22.Fmility ato `u'thonzNntatir <br /> APPLICANT NAME(print): 4W-7X. APPLICANT TITLE: 490-79. <br /> Ian Moorhead I Env. Compliance Mgr. <br /> UPCF UST-D(12/2007)-34 www.unielocs.org <br />