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06/11/2008 WED 8: 15 FAX 2094683433 SJC EHD 01003/007 4 • • • UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORINGPLAN (Page2of2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UPC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4�54' Ur 49040 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 114.NO DISPENSERS ❑99.OTHER(Scecify): _ PANEL MANUFACTURER: U 9d90as MODEL aY: Lf f �/ 490w. LEAK SENSOR MANUFACTURER: V MODEL M(S): 2 490.58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES ❑b.NO 490.59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN NYU ❑b.NO 0040. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. jg!YES ❑b.NO 49061 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER GKYES ❑b.NO 49D-62 2.UDC CONSTRUCTION IS i.SINGLE-WALLED ❑2.DOUBLE-WALLED 4900 .IF DOUBLE WALLED: 490,644 UDC INTERSTITIAL SPACE IS MONITORED BY: ❑1.LIQUID ❑2.PRESSURE [13.VACUUM _ A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490'64b VII.PERIODIC SYSTEM TESTING 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCBD 490.65. LEAK D MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 C_CR 52644.1) V2. ECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49066 SPILL BUCKETS ARE TESTED ANNUALLY. 090.6 VIII.RECORDKEEPING rIlowing monitoring/maintenance records are kept for this facility; ��- The 49o-6s. ❑Visual Inspection Records 4% b Wjf nk integrity testing results 4%4sc WIR testing results(and supporting documentation records). 4W.60e Qr Tank gauging results(and supporting documentation records). 490.6eo [}J Testing results(and supporting documentation records).49a6er ❑ Corrosion Protection 60-day logs 4X488 JE Equipment maintenance and calibration records. 490.68h IX,TRAINING • Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 4o49a REPE$ENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) EVEN HIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)~bOPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49o-694 e'SQALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4%696 [r-3a"�CALIFORNIA UNDERGROUND STORAGE TANK LAW 49x694 ryJ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR 'TANK OWNERS - MANUAL AND TATISTICAL INVENTORY RECONCILIATION"490.69r S WRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490498 OTHER(Specify):m69k t469t This is 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"wilt vain 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 D 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 D Names of contact person(s)for emergencies and monitoring alarms.490.70 X, COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.4%.71 OVo2 G�VGL /t/G<yH^ �6/aG G/ /�/�f /L S6% 6V XL 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 by this plan occurs;2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained property. The follow�gyerson(s)oe responsible for performing the monitoring end equipment maintenance: NAME UL C Vi3L2/'2 Oso-n TIME ilJ N G- 490.73 NAME 490.74 TITLE 490.95 The Designated 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 certify that the information provided herein is true and accurate to thebest of my knowledge, APPLICA SIGNATURE15� 490-76 DATE: 490-77 • � 3/y/o APPLICANT NAME(print): 490"98 APPLICANT TITLE: 4Y0'19 1'1fitn- C et/�G2 UPCF UST-D(12/2007)3/4