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r UNIFIED PROGRAM CONSOLIDATED FORW UNDERGROUND STORAGE TANK MONITORING PLAN-(Page I of 2) TYPE OF ACTION ❑ 1.NEW PLAN 2.CHANGE OF INFORMATION 490-1 PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY, 490.2 (Check one item only) 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( FACILITY ID#(Agency Use On(y) I. FACILITY INFORMATION _ I BUSINESS NAME(Same as FACILITY NAME) 3, BUSINESS SITE ADDRESS gW60 S ' � „I� � 103. CITY a C- tom. II.EQUIPMENT TESTING AND PREV NTIVE MAINTENANCE I4 Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,fine leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is-more frequent,and that such work must be performed by qualified personnel. 23 CCR 2632 2634,263$ 2641) MONITORING EQUIPMENT IS SERVICEDL ANNUALLY El 99.OTHER(Specify): 490-34 490-36 III.MONITORING LOCATIONS LJ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN, 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS, (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490.6 PANEL MANUFACTURER:- 490.7. 490-8 - �� MODEL#: m _ LEAK SENSOR MANUFACTURER: !` - 440-9. MODEL#(S): 90 iu 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643} 49x1 I PANEL MANUFACTURER: aso 12. MODEL#; 490-15 TN-TANK-PROBE MANUFACTURER: -_ 490-14. MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS �- ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 - ---------------- El d.MONTHLY ❑ e.OTHER(Specify): 490-17 ------ -F-y3:---__-- ------- -- --- PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 h. 490-ta g.p- ❑ c.OTHER S ecif 490-i9 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(13 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490`21 LJ 5.5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify); 490.24 490-25 ❑99.OTHER (Specify): 490-26 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) e90-27 A1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 S ALARMS. (23 CCR§2636) --SECONDARY CONTAINMENT IS: a.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZ_E_D ❑d.UNDERVACUUM 490-29 PANEL MANUFACTURER 490.30- ' ees �'r -moi rODEL _+�5� ago 31 _L_EAK SENSOR MANUFACTURER: n Oso az 7 ry 490-33 ��.T � MODEL#(S)�.��Y•.J11-_CJ=OrQ�- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. � ❑it.YES ❑b.NO 490-34 FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOM4kTIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERF. MS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR_§26�_ 49a 36 -_ MLLD MANUFACTURER(S): o-Kor'L- 490-37 -MO-. DEL#(S): {^ --- 490.38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY,PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLD MANUFACTURER(S) -� 4�0 490-41 MODEL#(S): PROGRAMMED IN LINE LEAK TEST:_ ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. - 44042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a,YES [I b,NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a,YES ❑L NO 490-44 ❑ 4.PIPE INTEGRITY TESTING 4900-9 - TESTFRE UENCY ❑ a,ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY Uf c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-49 '_Allowed for monitoring of unburied emergency enerator Kiel pipiritordy per HSC§25281.5(b)(3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA[23 CCR§2636(a)(3)]. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) '90-52 490-51 UPCF UST-D(12/2007)114