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i UNIFIED PROGRAM CONSOLIDATED FO ' UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN Kir 2.CHANGE OF INFORMATION 490.1 PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 49(Q (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- L FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) 3` BUSINESS SITE ADDRESS S'r . R .r p (A)G, 103. CITY G IC toa. U.EQUIPMENT TESTING AND PREY NTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line 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 he performed by qualified personnel. 23 CCR 2632 2634 2638,2641 . v.e��-- MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3e Q { i p �)� 490-3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.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__ j�� 490-T._�_MODFL '' 490-8 LEAK SENSOR MANUFACTURER: �ffocyL 49°9' ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 6490.11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13 IN-TANK PROBE MANUFACTU_R_ER: 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 --.-'-----------` 490-18 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: [:1a.36 HOURS F1b.60 HOURS 490.21 490.22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490.23 TEST Ela. [-I ❑ c.FRE UENCY: ANNUALLY b.BIENNIALLY OTHER(Specify): 490-24 Q 490-25 ❑ 99.OTHER (Specify): 490-27 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 ISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a.DRY- ❑b.LIQUID FILLED Dc.PRESSURIZED ❑d.UNDER,VACUUM - 4913-29 PAN_ELMA_NUFACIURER:-�� +_- -� 0-90-30pp�L _ 490-31 LEAK SENSOR MANUFACTURER: [a1C Qt �Q��. 4 5�"I MI 6DE #( 490-34 MODEL S PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO 490-34 FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOM TIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERF6RMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK ISDETECTED f�23 CCR263� 490-36 -------____---�--_"-------------�---_------- -- 490.38 MLLD MANUFACTURERS): 's 490.37 MODEL#(S); l- ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 -----___--�-_._ -.__-----------------------------`----'--- --��__ -----•----------------- 490.4°. MODEL#S 490.41 ELLD MANUFACTURERS}-- -______ ( ): -_ PROGRAMMED IN LINE LEAK TEST: ❑-l.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 0-90-02 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 49044 ❑ 4.PIPE INTEGRITY TESTING 49045 TEST FRE UENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY JZ C.MIN.MONTHLY&EACH TIME SYSTEM OPFPATED• 490-49 .Allowed for monitering orun6ufied emergency enewor full ei2injo_.1yper 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) 490-52 490-53 UPCF UST-D(1212007)I14