BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

FLED PROGRAM CONSOLIDATED FORM J �./ UNDERGROUND STORAGE TANK Y MONITORING PLAN (Page 2 of 2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING . Sft tt1r.rIUDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 4o-5w pt I.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER IS PANEL MANUFACTURER: 490'53 MODEL �j -TL-5 us°C — r0 90-57 _ 49o-sa 4 LEAK SENSOR MANUFAC['URER: ee I MODEL M(S): �q a YES ❑It.NO 490.59 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS UDC LEAK ALARM TRIGGERS AUTOMATIC PUMSHUTDOWN �,a YES [I b.NO °9060' P FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. �,a YES ❑b.NO 49061 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER a YES ❑b.NO 4906 990633 2.UDC CONSTRUCFION Is t1.SINGLE-WALLED ❑2.DOUBLE-WALLED 99a-Ms IF DOUBLE WALLED: UDC INTERSTITIAL SPACE IS MONITORED BY: [11.LI UID [12,PRESSURE ❑3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT'OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS EJa YES ❑b.NO 49°'0+0 VII,PERIODIC SYSTEM TESTING LJ 1. ELD TESTING: THIS FACILITY HAS BEEN NOTiFLED BY THE STATE WATER RESOURCES CONTROL DO ARD THAT ENHANCED 49o-Os. LEAK TE N=0 MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 3 CCR 2644.1) J.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. °� .SPILL BUCKETS ARE TESTED ANNUALLY. 49007 VIIL RECORDKEEPING The following monitoring/maintemance records are kept for this facility: �KAlann logs 4906s, 0 Visual Inspection Records 4906sb ❑Tank integrity testing results 49a6ae ❑SIR testing results(and supporting documentation records). 49MM ❑ Tank gauging results(and supporting documentation records). 49068e MATO Testing results(and supporting documentation records).490 w ❑ Corrosion Protection 60-day logs 49oeea CK Equipment maintenance and calibration records. 490 ssh DL TRAINING ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490696 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)s9 % OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4906x ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.696 ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49o-Ox ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: `HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49o09r ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49069, ❑ OTHER(Specify):m6w,n JR This facility has a"Designated UST Operator"who has 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 system 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 overfills as specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.4w7o 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.49 71 61eieOl J ITIAj - Pl ek 0 qs�b XI.PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that 1)the daily/routine UST monitoring activities and maintenance of UST leak detcc im 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 followin persons)are respo ible for perS'owning the monitoring and equipmeml maintenance: NAME 490-n TITLE L5!A.I 490-79 NAME 490-74 TITLE 490.75 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 mad follow-up action. XII.OWNEWOPERATOR SIGNATURE CERTIFICATION:I certify that the inf r matio¢.provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE r 49x76 - DATE: I ' a9un JC1K\N0. I T to p).A R nl ive ofOwnv ___ APPLICANT NAME(print): 49a78 APPLICANT TITLE: °90-79 UPCF UST-D(122007)314