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UNDERGROUND STORAGE TANK �. MONITORING PLAN (Page 2 of 2) VL UNDER DISPENSER CONTAINMENT (UDC) MOIVITORUVG • %RNSEL NITORIN�OIS PERFORMED USING THE FOLLOWING METHOD wosa INUOUS LECTRONIC MONITORING ❑ 2. FLOAT AND CHAIN ASSEMBLY ❑ 3, ELECTRONIC STA ND -ALONE SPENSE ❑ 99. OTHERS ci ANUFA 190^tf MODEL M: _5 �3� —' 490-.1& NSOR UFAL9VRER:. / /( ., 490-n MODEL fI(S): �•p p* sou ION OF LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a. YES r3y ppp s+-- = AK ALA TRIGGERS AUTOMATIC PUMP SHUTDOWN ,If L,a. YFS ❑ b. NO 490.60. E / DI ECTION OF UDC MONITORING SYSTEM T R=ERS AUfOMATTC PUMPSHUTDOWN. X L YES (3b. NO �1 N STOPS 17B FLAW OF PRODUCT AT THE DISPENSER 4��p. Yli3 ❑h..NO +9aa 2. UDC OONSTR 1S A. SINGLE -WALLED ❑ 2. nnTMLst_4/ar r M 1 49490 - UDC I? T'ERSTITI4L SPACE IS MONITORED BY: ❑ 1 LIQUID ❑ 2 PRESSURE ❑ 3 VACUUM A LEAK WITHIN T'HE SECONDARY [Y1NTeM4aGArr rm TrIC r rrrrernrnue . r,......., ..... _- - ______�..___—...._._....... •..........v u: 0-w yo. rv� --_._ VIL PERIODIC SYSTEM TESTING 1, ELD TESTING. THIS FACILITY HAS BEEN NO'CIFIED BY THE STATE WATER RESOURCES CONTROL BO, 1RD THAT i.� 4so-v • 1 MUST BE PERFORMED. PERIODIC BLD IS PERFORMED EVERY 36 MONTHS AS REQ BRED. (23 CCR 636L, fDAR . SECONDARY C NTAI HENT COMPONENTS ARE TESTED EVERY 36 MON7H& 490 6 3. SPILL ARE TESTEb ANNUALLY. r - VDI. RECORDKEEPING Tne following rwn.....0 /maintenance records are kept for chis facility; Alarm logs 49048. i Q Visual Inspection Records 49040-0 ❑ Tank integrity, testing results Oso. s , SIR Dealing results (a supporting docwnentation records). 490-6sd ❑ Tank ga igirgl results (and supporting da MMU12tio¢ n cadS). 4900-4. ATG Testing results and supporting documeriausur records). 4W46*( U Corrosion Pron ction 60 -day logs 4so4ss );quipment maintena: z and calibration records. 4% -`Personnel with UST REFERENCE DOCUr IX. TRAINING onitcring respomSibtities are familiar With all of the follOwim; documents relevant to theirjob MAILS. 45 614 ;NTS MAINTAINED AT FACILITY (Check all that apply) THIS UNDERG OUND STORAGE TAMC MONITORING PLAN (Required) 4vv491, OPERATING NUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 4906x '_',"-;- CALIFORNIA DERGROUND STORAGE TANK REGULATIONS 490-694 -+�°;-,�,_7. Q CALIFORNIA 4DERGROUND STORAGE TANK LAW 49069. ❑ STATE WATEL RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWC ERS - MANUAL !`I D STATISTICAL NVENTORY RECONCILIATION" 4so.69r ❑ SWRCBPUBLI TION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 4s0-691 ❑ OTHER (Specify st694 uwi This facility has a "D shgnated UST Operator' who hes passed the California UST System Operator Exam administered by the International Code Cho tcil (ICC).' The Designated UST 0 rotor' will train facility employees in the proper operation and maintenance, of the UST systema annuatl. , and within 30 days hire. This training will include, but not limited to, the following: ➢ Operation of the U�T systems in a manner consistent with the facility's best management practices D The facility emplo ➢ The facility emplo •s role with regard to the monitoring equipment as specified in this UST Monitoring Plan 's role with regard to Spills and in USTRasporse Names of const[ ,aprson(s) overfills as specified the Plan for emergencies and moni:nring alarms. 490-70 X. CONEWENTS/ADDITIONAL INPORMATION Provide Nwitiomi cowa;I4 been or urdimnr how mony pages with additional information to specific monitoring proeadms are am Avid witlakplan. 4 It , ) M. PERSONNEL RESPONSIFfILITIES : { The UST Ovmo' bie for emur iIIgthac l)tha dailyhoutina UST rnonrtoriog activities and maimanarue of UST 1pakdn4x not egaipveaisnWred 4y 2)all oti�litesponsi this plan occurs, 2) all cai),atiaro tiwt Indicate a posaiok reEcase arc invesrigated, and 3) all raonisoring rxords are RBh1o11'red pmpar•!y. The following pe;rson(s) *responsible for performing the monitoring and equipment rteimm�an4z: NAME 490-72 MLE >a9o.Y3 NAME 490,74 TITLE `4sa7s 61 The Designated Operator: perform a monthly visual inspection of the facility, provide a report to the owner/operator, and i &form the owner/opera or of any conditions that need fotlo -up nation. )ML OVAWI OPERATOR SIGNATURE CERTIFICATION: I that the inm foration provided herein is true and accurate to the best of m k>awiedege. APPL3CANT 5FGNA 49096 DATE'. -- 7 ligeaESFTT� NC:O t �O. y�hm'O2i iall dviraor C Ai hon.=C nea-.�emana oroxn.r APPLFCANi NAME (pn16. / - 490-ts APPLICA TT ITLE r i9p''9 LF ,l' � r UPCF UST -D(1212067) J4 i,•:: J