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r _ A PPPcv� UNIFIED PROGRAINI CONSOLIDATED FORDI UNDERGROUND STORAGE TANK MONITORING PLAN (Pap 2 412) VI.UNDER DISPENSER CONTAINMENT(USI MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4sn-541 i9n.5db k L CONTINUOUS ELECTRONIC MONITORING El2.FLOAT AND CHAIN ASSEMBLY [I3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS 099.OTHER(Spee ): F F FIPANEL MANUFACTURER' _ —__---_--- 7—MO-DEL i ,56L_1 ---- 490.56. LEAK SENSOR MANUFACTURER: 11 C.(" 390.)7 MODEL#(S): 490-5e DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS OYa.YES ❑It.NO 490'59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN [I ;.YES C1 b.NO 490'60 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Q-a.YES ❑b.NO 490"61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER UT's.YES ❑b.NO 490.62 2.UDC CONSTRUCTION IS Yl.SINGLE-WALLED ❑2.DOUBLE-WALLED 49°-65 IF DOUBLE WALLED: 490-64. UDC INTERSTITIAL SPACE IS MONITORED BY: QI_LI UID 0 2.PRESSURE E13.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE,AND VISUAL ALARMS ❑a.YES ❑b.NO i90.64b VII.PERIODIC SYSTEM TFS MNG 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49065. LEAK DETECTION MUST BE PERFORMED PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE UIRED.(23 0111_26j4.11 ❑2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49°46 ❑3.SPILL BUCKETS ARE TESTED ANNUALLY .9467 VII.RECORDKEEPING The following mon.ton ng/taga namce records are kept for this facility: ❑Alarm logs .40.61. vQ Visual Inspection Records 490.68b ❑Tank integrity testing results 490a8c ❑SIR testing results(and supporting documentation records). 490-6ed ❑ Tank gauging results(and supporting documentation records). 440-Sae CrATG Testing results(and supporting documentation records).49o4ar ❑ Corrosion Protection 60-day logs 4w4sa ❑Equipment maintenance and calibration records. 490-6en IX.TRAINING El Personnel with UST monitoring responsibilities are familiar with all ofthe following documents relevant to theirjob duties. 490491 REFE(ZE.NCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) [[j THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)494496 [OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4494% ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49a69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-691 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"4% W ❑ SWRCB PUBLICATION:"UNDERSTAN DING AUTOMATIC TANK GAUGING SYSTEMS"4w49a ThiOTH (Specify):1,169h.M6% s facilityER has a 'Designated UST Operator"who has passed the California 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: ➢ Operation 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 as specified in this UST Monitoring Plan • The facility employee's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.440-m X. COMMENTS/ADDITIONAL WFORMATION Provide additional comments here or indicate how many pages with adgitional information on specific monitoring procedur Sam attached to this plan.4W71 r�:�t-LhL.S �0v "LC rn"2 e iitzr a aaJ 1=(OLS t 2, ai_ 0_4 4501C . �' �lCLt r r6 r).Gti_. I,_`1CIlL+0ft L V, CL Ji 4n f)Iaj p jx 3-cul cies! Er FN c ,kut'ec . XLPERSONNEL RESPONSiA 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 following persons)are responsible for perform.�g the r�pto oring and equipment maintenance NAME �,(Yt}t) Il�`{�{{ty (t, - I `CI1I'l"-f�0, 390.72 TITLE N;`r_�t}lGi.I L_ DE v (.'il(1.4(C� � J IZi t(--P 490-73 NAME l til � X'-t + –I- l I F, Y `. 490.74 TITLE 'i ) L 7(1 (LCT 49e-75 The Designate Operators II perform a monthly visual inspection of the facility,provide a report to thecr/operaddr,and inform thk owner/operator of any conditions that need follow-up action. XII.OWNERIOPERATOR SIGNATURE F.RTIFICATION:I cent IF that the information provided herein is true and accurate to the best of my knowledge. APPLICANTSI a 490.76 DATE: 490-7 Z: t (, ,/1 HCl APPLICANT A E(print)'. 490'i8 APPLICANTTITLE: 49079 YYl Li�:.�� `�5. 1iC41 �ICNIt LLkdcr,C. ��}�QJ1Q' :(_ UPCF UST-D H212007)3/4