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UNIFIED PROGRAMCONSOLIDATED UNDERGROUND STORAGE TANK ORM MONITORING PLAN V1. UNDER DISPENS (Page 2 of 2) L UDC MONITORING IS PERFORMED L'SINC THE FOLLOEW,,NG M1 MENT jUDC)MONITORING �l.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY _Q 4.—NO EL MA UFA&F—NSERS099.OTHER(Spec 1,). 4%1 _ PANEL M_ANUFACfURER. � 3�ELECTRONIC STAND-ALONE 'w�-s'b Vte�vi LEAK SENSOR MANUFACTURER: �, ---__--" _ +ss4ss MODEL M: DETECTION OF A LF,AK INTO THE UDC_TR _ A --`-' - 'w`S6 _ ___.— iw:si MODEL q L -I-v1_��.�i..AG'4f.. UDC AILUREKALARMISCONNR)GON S AUTOMATIC PUMP SHUTDOWNND VISUAL ALARMS- --(SC +sswn �� _ FAILURE/DISCONNECTION OF U FYa,YES ❑b NO +w�so UDC MONITORING STOPS FLAW OOFNffORING SYS TEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. �a YES ❑b.NO +h'+r 2.UDC CONSTRUIF DOUBLE CTION IS PRODUCT AT"THE DISPENSER. a YES CJb.NO +%"61 I.SINGLE•WgLLED ❑2.DOUBLE•WALLED El a YES WALLED: ❑Is NO +iron] UDC INTERSTITIAL TIAL SPACE IS MONITORED By 41"JAI A LEAK WITHIN THE 1 LIQUID ❑2,PRESSURE ESECONDARY CONTAIN MENTOF THE UDC TRI --- �—'VACUUM TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YF-S I. ELI)TESTING: THIS FACILITY HAS BEEN NVOTTIFIIEDRBY THE STATE MW 1 ,ET�TINURCES CONTROL BOARD THAT ❑ENHwN�Fp Jug LEAK DETECTION(F Dt MUST BE PERFO 2.SaCONDARY CONTAINMENT COMPONENTS AREERIODIC EL IS PERFORMED E___ VERY 36 MONTHS q$RE 3.SPILL B -----_ TESTED-- EVERY OUIRED.(23 C +mss UCKETS ARE TESTED ANNUALL V. - ERY J6 MONTHS CR 2644 1 —�...._1___ +•sues Th I."Owing monitonngr ntenance records are kept for this faavllI. COPING - --- —+%" 7 Alarm logs +a"s, Visual fns ❑SIR testing results(and su g pection Records +' e8b pportin documentation rec0Ns). +r1.nsa Tank integrity testing results+ws ❑ATG Testing results(and supporting documentation records) +surer Tank gauging results(and su ❑Equipment maintenance and calibration recd ❑ Corrosion Protection PPoning documentation records), 4.Wq _____..._.__......_.... _ .. rds:.asvgsp 6o-day logs +sues 8 Personnel with UST monitoring responsibilities are familiar with all of follawT i�nlg INn6 relevant to their Job duties, +wwi, REFNCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ER NIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)+K,,% OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required),�x.nvs ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS4 o W ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW+semen ❑ STATE WATER RESOURCES CONTROL BOARD SWRC81 STATISTICAL INVENTORY RECONCILIATION" PUBLICATION: "HANDBOOK FOR TANK OWNERS - +wsvr ❑❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"+a�.esa MANUAL AND OTHER(Specify):.sse'a,,s+sri This facility has a"Desigruted UST ORnator"wfio has pnssod the CaliComia UST System Taming signaled UST Operator"will train t'eciliry employees in the proper operation S training will include, Olxmlor Exam administered by the International Code but is not limited to,the following: maintenance of the UST systems annually,and within 30 da Councilof > Operation of the UST systems in a manner consistent with the late I s > The facility employee's role with ty' best man ri of hire.This > The facility employee's role with regard 10 sp IIs and overtilmonitoring�ls�Pntem as s agement practices pacified in this UST Monitoring Plan > Names oCwntacI persons)for emergencies and mwhonn a) spe4 71 in the UST Response plan B arms.rm.1a Provide additional wmmems here or iow many OMMENTS/ADDITIONAL ndicate hIriFORM Qii� 6!i v:T ti Nr►e f qts h � Pages with additional information oATION nani AT n specific f/,rAA r✓ f t Y /f �r•S-cr�c g procedures are atmched to this plan.4w.7[ r ✓i A /"�.c a0A 1 �lM Al,O:/r�eN Sf XI.PERSONNEL RESPOIVSIBIIdTIES F ell The USTO url")pe c is risible for ensuring that I)the daily/routine UST monitonn activities and this plan accury,2) c that indican a g maintwaztce of UST leak detection The following/ Possible release are investigated,and 3)all monitoringrecords equipment covered by NAME 7 responsible for peripm,ing the monitoring and equipment mai maintained properly. NAME _ l+"'�" +wn TITLE o TheDcsignat +vw+ TITLE '!- pemtor shat erfa monthly asula conditions thaz need follow-up acption.orm visual inspection of the facility,providea report m the owner/ +''''s operator,and inform the owner/operator of any CERTIFICATION:I artia[the inform X[LOWNER/OPERATORSIGNATURE APPLICANT SIGN TI3gE ation rovided herein is true and accurate to the best of in knowledge. ~6 DATE: +wy1 1 APPLICANT NAME JG +A419 , APPLICANT TITLE 4'Wl UPCF UST- C' , /L R D(12/2007)J/4