BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

o oo• o0 0�� �-o UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TAMC MONITORING PLAN- Pae I or 2) TYPE OF ACTION ❑ I.NEW PLAN PIµ 2.CHANGE OF INFORMATION PLAN TYPE Eal L MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY, 690,z (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEMS) L FACILITY INFORMATION FACILITY ID R(Agency Use Only) _ 5 BUSNESS NAME(Same as FACILITY NAME) I Lq,f T -t,L GI'1 eX(�(t E i L r� 3 BUSINESS SITE ADDRESS '7 (�kf_If C, 101' CITY '�° + fC'/"7 II:EQ7MENT TESTING AND PREVENTIVE 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 be performed by qualified personnel. 23 CCR 2632 2634,26X 2641 MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): 690-3e 490.36 III.MONITORING LOCATIONS 1.NEW SITE PLOT PLA /MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49 N.TANKMONTtORING 1$PERFORMED USING TAE FOLLOWING D(S): I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 74K5 VAULTS)W ITH AUDIBLE AND VISUAL ALARMS.jj223 CCR§2632,2634) __ SECOND_ARY CONTAINMENT IS: ❑ a.DRY,Q]] b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM �-_-- LEAKSENSORMANUFACTURER � <v0-lo 2.AUTOMATIC TANK GAUGING(ATC)SYS-EEM USED TO MONITOR SINGLE WALL TANKISI.(2J CCR§2643) 490.11 PANEL MANUFACTURER: 690,12 MODEL k_ 490-13 IN-TANK PROBE MANUFACTURER: _ __ °90"'+__M_O_DEL : 69°-15 ------------ LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYMk_S).______ IGHTLY ❑ c.WEEKLY 090,.15 d_MONTHLY _ ❑ e OTHERS n +9o-19 PROGRAMMED TESTS: ❑ a.0.1911 g.p.h. ❑ 6.0.2 g.p.h. ❑ c.OTHER(Specify): 40. 90,-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490,xo ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 Ll 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 090.224W.23 TEST FREQUENCY: [I a ANNUALLY [Ib.BIENNIALLY [I c.OTHER(Specify): =25 ❑99.OTHER (Specify): 490-26 490 -n V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METROD(S){Cheek all;hat apply) . ' L CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 49 2s ISUAL ALARMS (23 CCR§2636) ,,[ SECONDARY CONTAINMENT IS:6.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VACUUM 49 29 _PANEL MANUFACTURER: I/t'C!_i _Pf 490'50 I MODEL p: 490-31 LEAK SENSOR MANUFACTURER: ,�,,�...11 EE_1` 090-3_x_ MODEL k(S): _=qqs+� °90.55 �I<< _Lr_.__.__.. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YFS ❑b.NO 490,56 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. lam.YES ❑b.NO 490.35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCE FLOW WHEN A LEAK IS DETECTED_ 23 CCR 2636 _ ". �_ H-_�.___ 690,36 a9o-3i ;__�.__� MLLD MANUFACTURER(S): --I _L24 MODEL N(S): (��,�,�-�� 49o-31 ❑ 3.ELECTRONIC LINE LEAK DETECTO (ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 ELLD MANUFA(nURERSS) °9660' : M_ODEL p(S): PROGRAMMED N LINE LEAK TEST: ❑ I.MINIMUM MONfHLY0.2 g.P.h. ❑ 2.MINIMUM ANNUAL 0,1 g.p.h. +9002 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 490.44 4.PIPE INTEGRITY T S INC 49045 TEST FREQUENCY a.ANNUALLY b.EVERY 3 YEARS c.OTHER(Specify) 490.464904) 5.VISUAL PIPE MQNITORINC. Cy;j t= + Qh �./ FREQUENCY n��[a.DAILY ❑ b.WEEKLY ❑c.MIN.MdNT14LY&EACH TIME SYSTEM OPERATED- 4y 9 'Allowed far mm,m ofwbuneJ amv morfuel i in onl NSC 25211.5 l ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA(23 CCR§2636(x)(3)). ago-so 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) 49052 49x.53 UPCF UST-D(12/2007)1/4