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Feb. 4. 2009 3:46PM No. 1797 P. 3 vw� �.. UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORINGPLAN (Page2of2) QI.DNDEir+H EN9ER CONT`AINMENT'(#DO MOMTORING a9osra J. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49 50 tg 1.CONTINUOUS ELECTRONIC MONITORING ❑2,FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS 099.OTHER(Specify): „---•. bvws % ° 36. PANEL MANUFACTURER: 8191\Ar .•,T• MODEL R: _m�—_, 4W57 • MODEL g(S):1_ _71 .. +90-59 LEAK SENSOR MANUFACTURER' DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS Q a.YES ❑b.NO 49459 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ®C a YES O b.NO FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® e.YES ❑b.NO 4' 1 UDC MONITORING STOPS THE FLOW OF PRODUCT AT RIB DISPENSER a.YES J O b.NO — 490 as 2. —UDCCONSTRUCTION IS M1.STNGL6WALLED yaj 2.D6118L&WALLED 49aaN IF DOUBLE WALLED: UDC INTERSTITIAL SPACES MONITORED BY: ❑1.LIQUID EJ-2.PRESSURE ❑3 VACUUM 4906re A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 13-WS b. 0 "VR,.P@*jUDIC 9YS2MM TMSTING ❑ 1 ELD TFSFING THIS PACII.I7Y HAS BEEN NOTIFIED BY TIE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49°69 _ EI'C N ELD MUST BE PERFORMED. PERIODIC ELD IS PbRNORMED EVERY 3ti MONTHS AS REQUfRED. 23 CCR ZtW4.1 499+4 �2.gECONDARY COIVI'AiNAfENT'COMPONEIPFS ARE TESTED F•VHRY 36 MONTII6. �-.._,. _.... ®3.SPII.L BUCKETS AAE TP,STED ANNUALLY. 4'pb1 ' VIILRECURDKEEPING ... Tile following monitadnglmeintrnance newels ere kept ibr Nis facility: Alarm logy 4906as Visual Impecrion Records 49e69a ❑Tank Integrity resting rc9ulb aw4u SIR testing results(and supporting documentation rocords). 49069a ❑ Tank gauging m9ulU(arid supporting documentatlon records). 49or49 ❑ATG Tasting results(and supporting documentation mcorda).4906ar � Cortosion Protection ad-day logs 4w6es Fquipment i1181n1eh1811ce and calibration records. 49a6m UL TRAINING IPersonnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob dudes. 4 a FERENCE DOCUMENTS MAINTAINED AT FACILITY(Chock an that apply) BrTHIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)4W.* PERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Rcquircd)49os9e CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49owd ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49 % ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS • MANUAL. AND STATISTICAL INVENTORY RECONCILIATION,+w✓rir ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49a692 ❑ OTHER(Specify):wqt ma EMS facility has a"Dcsignetcd USTOpens ar"who has passed the Califomia UST Sysum Operator Exam is M istered by the International Code Council(ICC). The"Desigarted UST Operator"will rain facility employees in the proper operation and mainumance,of the UST systems annually.and within 30 days of hire.This raining will include,but is not limtcd to,the following: D Operation of the UST synorw in a manner consistent with the facility's best management practices D The facility employee's role with regard w the monitoring equipment as specified in this UST Monitoring Plan D The facility employea's role with milord to spills and overfills as specified in the UST Response Plan D Names of contact person(s)for amcrgencies and monimring alarms.490-10 IL:UE)MMEN DMONALVOORMATION Pmvnde odditmnel comments here or indicate how nary pages with additional information on specific monitoring procodums are attached to this plan.490-71 linea) ar.rea) r-IoPPe�, 5e-}- A a5% XI,PERSONNEL RFSPONSIBUHMS The UST Owner/Opeator is responsiblo for ontiming that:1)the daily/routine UST monitoring actviow error maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records arc maintained properly. The following person a)are responsible for performing the monitoring end equipment maintenance NAME 49att TITLE '�� r r90-T NAME 499.1+ TIYLE H0.ry The Designated Operator shall perform a mGnthly visual inspection of the facility.provide a report to the owner/opeator,and inform the owner/opernmr of airy conditions that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I certif that rhe information mvided herein is true and accurate to the best of my M"Cdgc, APPLICANT SIGNATURErsa.ls DATE: of r�v� ury ow c/ r9a>a APPLICANT TITLE: r9o19 APPLICANT NAME(print)! Ma} v, G ;Qns �to UPCP USF-D(12/1007)3/4