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t, IED PROGRAM CONSOLIDATED FOR UNDERGROUND STORAGE TANK MONITORING PLAN - (Pae 2 of 2) (Check all VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING thata l UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) 490-54a. ❑ I.CONTINUOUS ELECTRONIC MONITORING ® 2.FLOAT AND CHAIN ASSEMBLY [13.ELECTRONIC STAN D-A[ANE 4�54b. ❑ 4.-NO DISPENSERS _ [I99_OTHER(Specify) 490.56. q90-ss. MODEL#:TLS-350 LEAK MONITOR MANUFACTURER:Veeder-Root ago-s,. 490-59. MODEL#(S):Float&Chain LEAK SENSOR MANUFACTURER: OPW 490-59.a.YES ® b.NO DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑El49a6o. a.YES ® b.NO UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 490-61. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. [I a.YES ® b.NO® C149042 a.YES b.NO UDC MONITORING STOPS THE.FLOW OF PRODUCT AT THE DISPENSER. _.__-.___ 490.63 1.SINGLE WALL ❑ 2.DOUBLE WALL 49"4.UDC CONSTRUCTION IS: ® IF DOUBLE WAI L: c.VACUUM UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE 490446 A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO VII. PERIODIC SYSTEM TESTING 49045 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED L DETE TI N(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE UIRED. 23 CCR 426x4.1 q90-66. ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49x47 ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. VIII. RECORD KEEPING 490-68. The following monitoring/maintenance records are kept for this facility: ® a ALARM LOGS [Ib.VISUAL INSPECTION RECORDS ❑ o TANK INTEGRITY TESTING RESULTS [Id.SIR TESTING RESULTS(and supporting documentation records) Ele.TANK GAUGING RESULTS(and supporting documentation records) ❑ f.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® h.E UIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING 49069a ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties: REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) 49049b. ® THIS UNDERGROUND STORAGE TANK MONITORING PIAN(Required) 49o49e. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 49049& ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4904%. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW C] STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49o-�9- STATISTICAL INVENTORY RECONCILIATIOM' ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 49a69h 490.691. ❑ OTHER(Specify): y 490-,0. This facility has a"Designated UST Operator"who has passed the es in the UST System Operator Ezam administered b 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 ovehlls as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION 490-]i. Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered this Dlan occurs;2)a11 conditions that indicate a _ssible release are investigated;and 3.Za11 monitoring recmds are maintained ProDerlY THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: 49x73. x90-72. TITLE:Store Manager NAME: Mohammad Afzal 490-75. NAME: George Sisson 49o-74. TITLE:Zone Manager The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-up action. .XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:I certif that the information rov' ed herein is true and accurate to the DATE,best of my knowled e. 490-77. APPLICANT SIGNATURE 04/09/10 REPRESENTMG:®1.Tank purer/ or N2.F.90 Owverl aror❑3.AuthorizedR reswtativeofOwve 490.]8. 490-]9. APPLICANT TITLE: APPLICANT NAME(print): Maintenance Manager Paul Chevalier UPCF UST-D(12/2007).314 www.unidocs.org