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0 '/' UNIFIED PROGRAM STORAGE T,"NFORM UNDERGROUND STORAGE TANK MONITORING PLAN-(Page I of 2) TYPEOFACTION -XLNEWPLAN ❑ 2.CHANGE OF INFORMATION 49x1 PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. (Check one item only) R 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(SI. A FACILITY[D#(Agency Use OnI. FACILITY INFORMATIONly) _ 1 BUSINESS NAME(Same as FACILITY NAME) 0 - Lp 3 BUSINESS SITE ADDRESS �l �-•r�` c� 103 V CITY x lox. I H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,Probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 CCR 2632 2634,2638 2641 MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 49x3' 490.36 III.MONITORING LOCATIONS 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490.4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACES)OR SECONDARY CONTAINMENT 4905 VAULTS)WITH AUDIBLE AND VISUAL ALARM 3 CCR§2632,2634) SECONDARY CONTAINMENT�[S/:� �❑ a.DRY b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 090' PANEL MANUFACTURER: 1L-GL 490x. MODEL#: 49 LEAK SENSOR MANUFACTURER: 490-9. MODEL#(S): ®� 90.1U 2.AUTOMATIC TANK CADGING(ATC)SYSTEM USED TO MONITOR SINGLE WALL TANKISI.(23 CCR §Z643) 49041 PANEL MANUFACTURER: _ J90-12 MODEL p: 49x13 [N-TANK PROBE MANUFACTURER: 490.10_MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY _ ❑ e.OT_HER(Specify)_ 490.11 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 49°18 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTC)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 490-u S.TANK INTEGRITY TESTING(23 CCR§2643.1): TEST FREQUENCY: Ela.ANNUALLY ❑ b.BIENNIALLY 49u 23 ❑ c.OTHER(Specify): 490-24 490¢9 ❑99.OTHER (Specify): 490-26 a9azr V.PIPE MONITORING IS PE USING THE FOLLOWING METHOD(S)(Check all that apply) L CONTINUOUS MONITORING OFPIPE/ INCVIP{E THER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) Q!!// SECONDARY CONTAINMENT IS:%.D ❑ LI U FILL ❑c.PRESSURIZED ❑d.UNDER VACUUM 49P29 PANEL MANUFACTURER: - °90.1° i MODEL#: 'N-i-C - 490-31 LEAK SENSOR MANUFACTURER: `r 490.32 49 33 Y22rA.Q� 4 MODEL#(S):� PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES b.NO 490-34 FAILUREMISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑b.NO 490'35 ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR$2636) 4y 36 MLLD MANUFACTURER(S): °90-30 MODEL 4(S) 490.38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636). 490-39 ELLD MANUFACTURERS) °90-00 1 MODEL#(S): 490-41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g,p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. J9042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490'°3 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 ❑ 4.PIPE INTEGRITY TESTING 49049 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490.4649041 Lj 5.VISUAL PIPE MONITORING. FREQUENCY [I a.DAILY C] b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.48 'Alloxxd fm mwtlmri of wbunW mer enc� meral9r fuel i n 00 er HSC 25281.5(bNA 49049 ❑ .SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490-50 1 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490- ❑ 99.OTHER(Specify) 49o-52 490-s3 UPCF UST-D(12/2007)1/4