BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

_ 'PIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK - MONITORING PLAN-(Pftze 1 of 2 Hut TypZQ0MrrjON ❑1.NEW PLAN -02.CHANGE OF INFORMATION d90,2 PLAN• YPE 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( I. FACILITY FACQdTY INFORMATION t FACILITY ID#(Agency Use Only) T �y 3. BUSINESS NAME(Same as FACILITY NAME) Ti-y-ncO 1 f ` 'Q-Z� 1w. CITY BUSINESS SITE ADDRESS aLL I IL EQUIPMENT STING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of11equipment(e.g.,sensors,probes,line leak detectors,etc.)must be perforlrxd at the frequency specified by the equipment manufacturers'mstructtw5,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 26322634.263- 2641 --- x90.38 MONITORING EQUIPMENT IS SERVICED �,l ANNUALLY ❑ 99.OTHER(Specify): _ 490.3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN• Z.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632. 2634 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 4o-5 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTmAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) 490,6 SECONDARY CONTAINMENT IS: X a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 49 8 PANEL MANUFACTURER: MODEL#: T LS- 5 V- a9o-to LEAK SENSOR MANUFACTURER �ef.dgk 090.9 R S - a O -CT2-.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 49x11 x90.12 MODEL#: 490.13 PANEL MANUFACTURER: 4ais aAIL MODEL#(S): IN-TANK PROBE MANUFACTURER: 490.16 LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAILY/MGHTLY ❑ c.WEEKLY ❑ 49x27 d MONTHLY ❑ e.OTHER(Specify): 490.18 PROGRAMMED TESTS: ❑ a 0.1 gp.b. ❑ It.0.2 g p.h. ❑ c.OTHER(Specify): 4919 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.29 El4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS [I It.60 HOURS 49021 490.21 El 5.TANK INTEIT GRY TESTING(23 CCR§2643.1): 40.23 TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490.]3 490.26 ❑ 99.OTHER (Specify): 490.27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) 1.CONTINUOUS MONTTORING OF PIP`V PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 490.29 49oa640.31 PANEL MANUFACTURER: V -P-( - MODEL#: � - LEAK SENSOR MANUFACTURER: 490.31 MODEL#(S): '-(C{c{;�90-r3Q(�j a9oa3 PIPING IEAR ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. X,a YES ❑It.NO a9o-3a FAILIR E/DISCONNECITON OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. X8.YES ❑b.NO 490.35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 190'M MILD MANUFACTURER(S): - Q: ° 3r MODEL#(S): ) 5 49x36 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490.39 ELLD MANUFACTURER(S) 49DAe MODEL#(S): 4911 PROGRAMMED IN LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 02 gp.h. ❑ 2.MINIMUM ANNUAL 0.1 gp.h. d90'42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO 4043 ELLD FAI.UREIDISCONNEC ION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO 490.00 4.PIPE INTEGRITY TESTING 49045 TEST FREQUENCY ❑ a ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHERS ) 490.46490.0 5.VISUAL PIPE MONITORING. 496276 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MrK MONTHLY&EACH TIME SYSTEM OPERATED' 4919 Allowd 6r mon¢mi u}'„Mrid fuel i unl HSC 25281 5 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490.50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM st 40.$2 ❑ 99.OTHER(Specify) 490.53 UPCF UST-D(Iaf3007)1/4