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a FIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- 1 alt 7Y1'E OF ACIK)N �INFW PLAN ❑ 2.CHANGE OF INFORMATION rw ' PIANIYPF I MONITORING IS IDFNTICAI. FOR ALI UST,AT THIS FACILITY lChft+onetem only) ❑ 2 THIS PLAN COVERS ONLY THE FOLLOWING USTSYSTEM(S), L FACILITY INFORMATION FA(InTY lot(Agnary Cfrr ONjJ F/; BUSINESS NAME 4Samo a FACILITY NAM*:) HUSINFSS Sf1E ADDRESS /OZz 6zo lolw"C: Rea-D q CTry R IL N ems• rm.._ 11.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE j Tins,preveadi"mmMemnce.and calibration of monaormg ogmpmeM(e g,,emus,pm6es,hm leak dem iar, ete)mlmt he perfm.ad A Ur hcgwmwy spmfmd by dw equipment menufaclmcrs Irulnutlunc or amoral$',whwl e r is nmre fmq=u,and that such work Inm4 be peAbnwd by omilYed petNaeld 23 CCR§2632,2614.2638,264 it MONITORING EOU IPMENT IS SERVIC FD IR I ANNUALLY ❑ 99 OTTIER(Specify) 111.MONITORING LOCATIONS I.NEW SITE PLOT PLANIMAP SIIBIHITTED WITH THIS PIAN. N LSITE PIAT PLANIMAP PRF.VI(HISLY SUBMITTED (23 CCRlaw. t IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODIM. _ I CONTINUOUS ELECTRONIC TANK MONITORING OF ANNII TAR(INTERSTITIAL)SPACR(S)OR SECONDARY CE)WALNNtEMI wa4 VALILT(S)WITH At[BIBLE AND VISUAL ALARMS (23 CCR 1263A 2674) SECONDARY CONTAINMENT IS _$f a DRY ❑ b LIQUID FILED ❑ e PRESSURIZED ❑d UNDER VACI IUM PANEL MANUFACTURER-V� OF/ta4p-' MODEL6 - 'saa _-LFAKSENSORMANUFAC171RkR VE>�➢ �-� -- - _—aw, MODEL 6(S) 795CP 9O oxo � Ll 2 AUTOMATIC TANK GAUGING(ATC)SYSTEMUSED TO MONITOR SINGLE WALL TANK(S).(23 CCK*211411 ae11 _ PANEL MANUFACTURER 1°4-�x MODELS IN-TANK PROBE MANUFACTURER a1°1° MODFLMSZ __ -- wo is LEAK TEST FREWIE4CY ❑ aCONTINUOUS ^� ❑ b DAILYMIGEDLY ❑ c WEEKLY xou ❑ d MONTHLY.__.__ ❑ e OTHER(Spen )fyi_ ~7� THy wia PROGRAMMED TESTS ❑ a Olgph ❑ 602gph ❑ c OTHFR(Speafy) axon j 0 1 MONTHLY STATISTICAL.INVENTORY RECONCILIATION(23 CCR*26401): am rd I ❑ 4 WEEKLY MANUALTANK GAUGING IMTG)(23 CCR 1264.5). TTISTINGPERIOD. ❑ a36HOURS ❑ b6011MR.S ' 0 5 TANK INTF.GRITV TF.STINC,(23 CCR 12643.11: �Fx' rav �„ 1 'rFSTFREQUFNCY ❑ a ANNUALLY ❑ b BIFNNIAI LY ❑ c OITIER(SPmlfy) a,axs 116D ❑99 OTHER{Speufg) V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHO SD{ k all"ineirl W1 CONTINUOUS MONITORING OF PIPE/PIPING SUM%S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBl3?AND VISUALAIARMs (23CCR*2636) SECONDARY CON[AINMEN I IS ga DRY ❑b I.IQUIDFILLL33 ❑c PRESSURIZED ❑d UNDER VACUUM asp PANEL MANUFACTURER c x°0'10 MODEL# 'f LS-SSS a►R aao3x _ aae.11 LFAK SENSOR MANUFACTURER V. -_ MODEL qS),__ 9V-5ItP- PIPING LEAK ALARM TRIGGFRS AUTOMATIC PUMP pc,TURBINE)SHUTDOWN ®.a YES ❑b.NO FAILURFJDISCONNFCOR DON OF TTIL MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHU I UoWN Eke YES 0 NO a91"ra 2 MECHANICAL LINE LRAK DETECTOR(MLLD)TIIAT ROUTINELY PERFORMS 3D g.p.0 LEAK TESTS AND RESTRICTS OR SIR-I'S OFF PRODUCT FLOW W_I_MN A LFAK IS DF.'rE(TED_l33 CCR_j2636Z__ '"' MLLU MANUFACIURER(5) F•�� a�l'�KE''�r �n MOUFI.Y{g) ❑ 3RLECTRONIC WNE LEAK DhTECTOR(EW.D)THAT ROUTINELY PERFORMS 20 rph.LEAK'IESTS (23 COIL 12636) aaa.n _ ELLD MANUFACTURER(S) ^oaa MODEL a(S PROGRAMMED IN LINE LEAK TEST ❑ 1 MINIMUMM/MONLY02"l, ❑ 2 MINIMUM ANNUAL01gph I:LLD DETECTION OF A PIPING LEAK IRICKERS AUTOMATIC PUMPStlUTDOWN ❑a YES ❑b W) H_LDFAILl1RNDISCONNECDON IIIGGFItSAUIL7MATICPUMPSHUTDOWN 0 YES ❑b NO ❑ 4 PIPEINTEGHUrYTESTINGaawr 4aaacwo„sT TI-SI FRE LNCY ❑ a ANNUALLY b FVERY3 YEARS Llc OTHERS _ jig 4 VIGIAL PIPE MONITORING. seoaa FREQUENCY ;.a DAILY ❑ b WEEKLY ❑e MIN MONTHLY A EACH TIME SYSTF.MOPERATV0' -Alkdl de.Ilmld fva W N,c I J ❑ 6 SLNCl JON PIPING MEETS EXEMPTION CRITERIA 121 CCR 12636(x)(3)1. NFY ❑ 7 N REGULATED PIPING PER H!'_1C1'H AND SAFETY CODE,Di VISION26ISCHAPTERi7 CONNECTER'TOTIIFTANKSYSTEM 1 ~1 ~1 ❑ 99 OTHER(Speci)q L'IPCF UST-0(12=07)114