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UNIFIED PROGRAM CONSOLIDATED FORM - UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING I. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4W54 Oso s ❑ 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4.NO DISPENSERS 1199.OTHER S eci ): PANEL MANUFACTURER: a9o-5s MODEL#: 490.56. LEAK SENSOR MANUFACTURER: 490.57 1 MODEL#(S): 4W58 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 ❑ a.YES ❑b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490.61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ❑ a.YES ❑b.NO 49x62 2.UDC CONSTRUCTION IS 111.SINGLE-WALLED 112 DOUBLE-WALLED 490.65 IF DOUBLE WALLED: 4908 UDC INTERSTITIAL SPACE IS MONITORED BY: 1.LIQUID ❑2.PRESSURE El 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49x641 VII.PERIODIC SYSTEM TESTING ❑ 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. L ETECT1034(E D MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR 2644.1 [12.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 0 3.SPILL BUCKETS ARE TESTED ANNUALLY. 49067 VIII.RECORDKEEPING The following monitoring/maintenance records we kept for this facility: Alarm logs 49068a K Visual Inspection Records 490-6x75 ❑Tank integrity testing results 490.680 ❑SIR testing results(and supporting documentation records). 4904sd ❑ Tank gauging results(and supporting documentation records). 490-68e ❑ATG Testing results(and supporting documentation records).490-6sf ❑ Coaosion Protection 60-day logs 490-6eg X Equipment maintenance and calibration records. 49MM IX.TRAINING bl Personnel with UST monitoring responsibilities are familiar with all of the following documents mIevantto their jab duties. 4W69a REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) N THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-6% N OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49049c ❑ CALIFORNIAUNDERGROUND STORAGE TANK REGULATIONS 4W69d ❑ CALIFORNIAUNDERGROUND STORAGE TANK LAW 49"9. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION'49069f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490.699 ❑ OTHER(Specify):M69h,t.669i ❑1 This facility has a'Designated UST Operator"who bas 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 him.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 slams.490.7o X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information an specific monitoring procedures we attached to this plan.490-71 Audible and visual overfill alarm set at 90%of tank capacity for overfill protection.See additional attachment. XI.PERSONNEL RESPONSIBILITIES The UST OwncdOpergtor is responsible for ensuring that:l)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 person(s)we responsible for performing the monitoring and equipment maintenance: NAME Tim Hurlocker 490.72 TITLE Director of Gasoline Operations I9a73 NAME Dennis Bock 49x74 TITLE Environmental Compliance Manager 490-75 The Designated Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owns/operator of any conditions that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:T certify Atit momationXovided herein is true and accurate to the best ofmy knowledge. APPLICANT Ssrel ❑ saa[ixofO,.4,9�n0-76 DATE:�`I I I 490-77 s- G� ` APPLICANT NAME(print) 490-78 APPLICANT TITLE: 490-79 David H Rogers Director of Real Estate Development UPCF UST-D(12/2007)3/4P'�'' G vv� V