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t 1 0 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN—(Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING (Checkall UDC MONITORING IS PERFORMED USING THE FOLLOWING METHODS) that a lv) ❑ L CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54a. 4.NO DISPENSERS _ ----- ❑ 99,OTHER(Specify) -------- LEAK MONITOR MANUFACTURER: ago-ss. 490.54b. LEAK SENSOR MANUFACTURER; MODEL 490-57. MODEL#(S): 490-58. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES El b.NO 490-59. I ❑ a.YES ❑ b.NO 490-60. I FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490-61. -----UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER, UDC CONSTRUCTION IS: �� _--- — "_' — — _— _..______— ❑ a.YES ❑ b.NO 490-62. ❑ 1.SINGLE WALL IF DOUBLE WALL: 1:1 I+I UDC INTERSTITIAL SPACE IS MONITORED BY: a.LIQUID El490-64a. ❑ b.PRESSURE ❑ e.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490-64b. VIL PERIODICSYSTEM TESTING ❑ ].ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED I , THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE JIRED.[23 CCR 42644.11 490-6s. ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.67. VIII. _RECORII KEEPING The following mvnitoring/maintenance records are kept for this facility: ® a.ALARM LOGS b.VISUAL INSPECTION RECORDS 490-`'s ❑ d.SIR TESTING RESULTS(and supporting documentation records ❑ c.TANK INTEGRITY TESTING RESULTS Q f,ATG TESTING RESULTS and supporting ) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) { pportin documentation records) ❑ g,CORROSION PROTECTION 60-DAY LOGS ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING rREFERENCE ersonnel with UST monitoring responsibilities are familiarwith all of the following documents relevant to theirjob duties: DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) 41D fi9n HIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) PERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 990-69b. ALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69c. ALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69d. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69r. STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.69$ ❑ OTHER(Specify): 490-69h This facility has a"Designated UST Operator"who has passed the Cahfamia UST System Operator Exam administered by the International Code Council 490-69,. (ICC}. The "Designated U5T operator"will train facility employees in the Proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facy's best management practices. D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. ;' The facility employee's role with regard to spins and overfills as specified in the facility's Name(s)of cantact persons)for emergencies and monitoring alarms. UST Response Plan. X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional infomialion on specific monitoring procedures are attached to this plan. 490.71. Used Oil tank utilizes audible/visual alarm at 90%capacity, as overR protection. XI. PERSONNEL RESPONSIBILITIES f The UST Owner/Operator is responsible for ensuring that: J.)the dailyhoutine UST monitoring activities and maintenance of UST leak detection equi _bLth1s2lan occurs;2 all conditions that indicate_a p2sslble reinv lease are esti ated;and 3. all monitorin records are maintained m pment covered erl . THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE 1 f NAME: Elmer Montera-Balch Petro 490.72. TITLE: Primary Designated Operator 490-73. NAME: Ryan Lipert-Balch Petro 490-74, TITLE: Secondary Designated Operator 49o-75. f The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up action. XIL OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the informs ibn p avided herein is t ue and accurate to the best of my knowledge. d APPLICANT SIGNATURE If (_'L DATE: 490-77. L i ( _, { REPRESENTING:❑I.Tank Owner/0 ecatar acili. cer/0 ti— erao3Authorized Re entative orowner 490-76.APPLIC --,f)L5 NAAE(p : i 490-7s, PLICANT TITLE: 4g0-79. UPCF UST-D(12/2007)-4 6 w,ww.unidoes.org