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I f i . t # i iWMEUNDERGROUND STORAGE TANK MONUORING PLANT—PAGE 2 ,..AREAS BENEATH DISYA`I5ER(S)TS PERFORMED(TSINU THE FOI LOWING A2EITi00(S)(Check all that apply)USELECTROMCMONIIORINGCTtJNDERDISPENSERCONTAINMENT(UDC)ANUFACIURER:__.—VVeederRoo Msr MODEL#: TTS350 .. M54ENSOR MANUFACTURERR: Veeder Ront � MODE.I(S):. 74-380-323M�TECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISLJAI ALARMS? 0 a YES ❑b NO adss WILI AUDCIEAKALARMIRIGGfiRAUT'OMAIICPUMPSHUTDOWN? a YES El b NO Ms6 WILL FAILUREXISCONIVECHONOF UDC MONITORING SYSTEM TRIGGER AUTOMAIIC PIJMFP SHUIDOWN7 iq 01 a YES ❑ b I MS3 E7 2 MECEANIICAL ASSEN113L Y(e g,FLOAT AND CHAIN ASSEMBI Y)IN UDC IRIPS SHEAR VALVE IN CASE Of TEAK ! M5a MODEL u59 j ASShMBLYMANItFACIURER_ _— _--_---- (}.—_ ---— reap L]3VISUAL MONITORINGDONE: Ej aDALY ❑ b WEEKIYIttequirae¢geoerapp—J) 1 ❑ 4 NO DISPENSERS Mdl i ❑ 99.OTHER(Specify) _ --- — — — + �•,::....�..!_r. 7�!��_:'}:i�'�i.•. -. ��L�(,�LL„ 1sL", .��4+�!1-lk •? ..: .::. -❑ 1 WE HAVE BFEN NOTIFIED BY THE STATE`NATER RESOTIRCES CONTROL BOARD THAT WE MUST IMPLEMENT ENHANCED LEAK DETECTION(ET D)F'OR THE UST(S)COVERED BY IIRS PLAN PER 23 CCR§2644 I,ELD IS PERFORMED EVERY 36 MONIES AS REQUIRED rtao REFERENCE DOC(JMEfiTS MAINTAINED AT FACTLIT�'(Check all that apply) 1 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENI(Regaired)* 3 ® THE FACILITY'S BEST MANAGEMENT PRACTICES(.Required as of XNVDD)YY) 4 ❑ CALIFORNIA UNDERGR.OUND STORAGE TANK REGULATIONS r 5 ❑ CALIFORNIA UNDERGROUND S IORAGE TANK T,AW 6 [] STATE WATER RESOURCES CONTROL'BOARD(SWRCB)PUBI KATION: HANDBOOK FOR TANK OWNERS MANUAL AND STAIISITCA1 INVENTORY RECONCILIATION" 7. ❑ SWRCB PIJBISCATION:,,WEEKI yMANUAL TANK GAUGING FOR SJ,f L UNDERGROUND STORAGE I ANKS Mat 99 ❑ OIHER(Specify): _ Pcgonncl with USI monitoring rrsponstbilities are fhmiliar with all of the above documents relevant to their job duties and can access those documents when needed By 1/]/2405,this facility will have a"Designated UST Operator who has passed the operator exam administered by the International Code Council XC). By July I, 2005,and annually thereafter,the `Designated UST Operator'will train facility employees in the proper operation and maintenance ofthe UST systems This training will include,but is not limited to,the following: Operation of ffie UST systems in a manner consistent with the facility s best management practices ''-The facility crnployee's rele with regard to the leak detection equipment _ A Ihefkcility employee's role with regard to spills and overfills Whom to contact for emergencies and leak detection alarms F or facility employees hired on orallorJuly 1,2005,the initial training will be conducted within 30 days of the date of hire — x _ O N $/AD ITIONAL INFORl'ATI IO Please .:use this section to include any additional UST system monitoring-related information(e S,additional information required by your local agency): e *Monitoring systems manual maintained by contracted,licensed pump and tank technicians *Best Management Practices are maintained in the H.S.S,.F.Retail Facility Programs Manual(Green Binder). - *Tank Overfill Protection Type: Overfill Alarm,Visible and Audible alarm at tank fill point(s)and operates alarm trigger at 90%. 'Et9QlrTLP£ NSBI : . ::. -THE FACLITY OPERATOR DESIGNATED IN SECTION XI BEI OW 1S RESPONSIBLE FOR PEFORMING MONITORING BP lA'ESi COAST PR.ODIICTS I IZC I9 RESPONSTT3LE FOR MAINTATNPi 1G AND TESTING ALL MONITORING EQUIPMENT. —_ --. _'�gi?^ Y �•�{i 5�:?7� 1'1� C7lGitn CERTIFICATION.I ertify a he_information provided heteln is true and accurate to the best of my knowledge. H91 0 IERJOPERAT ATU REPRFSEN IQ DATE: ❑Owner wo /f ®Operator _ hf42- Y193 O`iJNERK]PERAT RNAME(pnn OWNER/OPERATOR,TIrLi.- PROMOD K TREHALA FRANCHISEE (49---y Use Only) This plan has been reviewed and: .Approved ❑A?paved With Conditions ❑Disapproved Date: Local Agency Sigasttire _� � —--— —•—�' — — Comments/Special Conditions -- f Page 2 of 5 Arco02M,Selshife Envtfonnantal Servics