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I UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK MONITORING PLAN— (Pa Ye 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that u ! I [ 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑ 4.NO DISPENSERS 490-s4a I _ ❑ 99.OTHER(Specify) - 49as4h. LEAK MONITOR MAN[JFACTURER: Veedef Root a9ass. LEAK SENSOR MANUFACTURER: VBBder ROOt a9asz MODEL#: a90-sc. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARM$ MODEL#(S):208 490-ss. DDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. [j a.YES ❑ b.NO 490-59. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. [9 a.YES ❑ It.NO 490.60. I UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. © a.YES ❑ b.NO 490.61. UDC CONSTRUCTION IS: (9 a.YES ❑ b.NO 490-62. ff DOLmLE WAr r; ® I.SINGLE WALL ❑ 2.DOUBLE WALL 4900.6]- UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID4".Ma. A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VIb. SUAL RE ALARMS. El a.YES VACUUM El b.No 49964n. VII. PERIODIC SYSTEM TESTING ❑ I.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65, L AK DETECTI N ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.[23 eCR g2644.q ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490.66. 490.61. The tollnwin VIIL RE.CORD.KEEPING g monitoring/maintenance records are kept for This Cacilily: ® a.ALARM LOGS b.VISUAL INSPECTION RECORDS 490-6e. ❑ d.SIR TESTING RESULTS(and supporting documentation records ❑ c.TANK MTEGRITY TESTING RESULTS e] f ATG TESTING RESULTS(and supporting documentation records ❑ e.TANK GAUGING RESULTS(and supporting documentation records) ® h.E UIBMENT MAINTENANCE AND CALIBRATION RECORDS ❑ g'CORROSION PROTECTION 60-DAY LOGS IX. TRAINING R Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties: REFERENCE DOCUMENTS MAINTAINED AT FACILI 490-69a. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(that apply) ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.69e. 490.69. CALIFORNIA UNDERGROUND STORAGE TANK LAW ago-69a. 11 STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 490-69f.STATISTICAL INVENTORY RECONCILIATION' ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" [I OTHER(Specify): 490-69s. 490.69h is facilityhas s"Designated UST Operator"who has passed the California UST System Operator Ezam administered by the International Code Council a9ar0. 490.69,. of The "Designated UST Operator b will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days erhire.This[mining will include,but is not limited to,the following: > Operation of the UST systems in a manner consistent with the facility'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 spills and overfills as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. I Provide additional comments here or indica[ - COMMENTS/ pMEages NT ad;tAionDaDITIONA l information onL INFO ecific monitoring tRMATIO Drop tubes with mechanical flappers set at 95%. 24 Hr Remote monitoring via phone modem porovideo brocedures are y Ryder ttached tF erl Services. 490 71. XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensunng that: l.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered _by this plan occurs•2. all conditions that indicate a possible release are invesq ated;.and 3_)all monitoring records are maintained�roperly______ THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Elmer Montero-Balch Petro 490-72. TITLE; Primary Designated Operator 49x73 NAME: Ryan ST Op -Balch Petro 499-'/4. TITLE: Secondary Designated Operator 49x95. I The Designated UST Operator shall perform a monthly visual conditions that need follow-up actioninspection of the facility,provide a report to the owner/operator,and inform the owner/opemtor of any . XII. OWNER/OPERATOR SIGNATURE CERTIFICATIO :'I certify that the i form ti provi ed herein's true and accurate to the best of my knowledge. APPLICANT SIGN TUNE r. • - DATE: 490-79. REPREsarmxc:O rT � �rnro�a�i�i .�. br 3.Author¢�Re rtaentatiw of Owner 490-96. APPLICANT NAMIl PLICANT TZ X7/49 79.9. !-� UPCF UST-D(12/2011-416 \ - � -/ www.unidocs.org