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• UNIFIED PROGRAM CONSOLIDATED FORK UNDERGROUND STORAGE TANK .MONITORING PLAN (Page2of 2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD y.,, 1 90-sa4 ,I� 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CRAM ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4� ❑4.NO DISPENSERS ❑99.OTHER(Specify—):fes--�— PANEL MANUFACTURER: y E Q 1 r"1lX.:t- �su-ss —" -� MODEL It - 4W56, LEAK SENSOR MANUFACTURER: F'E Cl e ------4vo-s� — 4 eh' ------- DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE ANO VISUAL ALARMS MODEL(I(S),F - 49osa UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWNW5 YES a-YES El b.NO 49as9 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. yE$ ❑b.NO °90-60 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ❑b.NO ° � 2.UDC CONSTRUCTION IS 1.SINGLE-WALLED 112.DOUBLE-WALLED Q e'YES ❑b.NO 490-62 2F DOUBLE WALLED: 9 UDC INTERSTITIAL$PACE IS MONITORED BY: ❑L LIQUID ❑2 PRESSURE g 3.VACUUM490.644 A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS__❑a YES ❑b.NO 49afi4b VIL PERIODIC SYSTEM TESTING I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 4g 3, LEAK DDRUCTION( DI MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE I. RED. 23 CCR 62644.1) ❑2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 4 [33.SPILL BUCKETS ARE TESTED ANNUALLY. - — a90 490 6r VIM RECORDKBEPING 77�following monitoring/m�aip[enan--records are kept for this facility: Q Alarm logs 49 8e L;J Visual Inspection Records M-6ab ❑SIR testing results(and supporting documentation records). 4W6ed [I Tank integrity resting results 9ATG Testing results(and supporting documentation records.4W68r ❑ Tankgaugingectio 60-day supporting records). ago-ase 11 Corrosion Protection 60-day logs 49068g ❑Equipment maintenance and calibration records. 490e8n IX.TRAINING Personnel with UST monitoring responsibilities arc familiar with all of the following documents relevant to theirjob duties. 490. REFE ENCF.DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) OTHIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)49 qh OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)~I, ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49o-am ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-6 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"4oa9r ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490.69a OTHER(Specify):M6911 Mag; This facility has a"Designated UST Operator'who has passed the Califomia UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST 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: > 0 perad0n of the UST systems in a manner consistent with the facility's best management practices > The facility employee's role with regard to the monitoring equipment 0 specified in this UST Monitoring Plan I. The facility employee's role with regard to spills and overfills as specified in the UST Response Plan > Names of contactperson(s)for emergencies and monitoring alarms.49aw X. COMMENTSIADDTTIONAL INFORMATION Provide additional comments here or indicate how many pages with adAitioold information on specific monitoring procedur are attached to this Plain.4fi r�: �u(�LS Lit. u rYie c.f�c�fkc s (Q ;Lr s xt t> f c hcL(r re mcot(. ill�flL For(L VI CL ` 1 n1C'I I)L CLI 1,deC� l AL PRRSONNEL RESPON.,,wLLjII The UST Owner/Operator is responsible for ensuring that: 1)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 investigated,and 3)all monitoring records are maintained properly. The folio 'ng persons)are res ible far performigg t a ni oring and equipment m�I,ntenance / NAME .(nw, - )3 t.)'(L - L�e7t ( C, s9o-92 TITLE r.,c, t loll L %lQ-FC �i(,C'I NAME L IT �, .1{- _ - a90-n The Desi r' 4sa74 TITLE '.i) - L 7t.'L Q. Ql^ 49an gthat Operator II perform a montltly visual inspection of the facility,provide a report to the- er/ope ,and inform t owner/operator of any conditions that need follow-up action. XIL OWNEWOPERATOR SIGNATURE ERTIFICATION:I certify that the inforrnation provided herein is true and accurate to the APPLICANT SI ge- / 4g0o6 DATE: 4g 77 APP ]CANT 4AME(print): 49a73 1 �'II L.`� APPLICANT TITL`: .79 UPCF UST-D(12/2007)3/4