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Jan. 21. 2010 6:30AM - No. 3418 P. 6 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN- loft) •TYPE OP ACTION ❑1.NEW PLAN 2.CHANGE OF NPORMATION 4Y1 PLAN TYPE ;`I.MONITORINO IS IDE ICAL FOR ALL USTS AT THIS FACILITY. 490.2 Cheek oro sent onl ❑2 THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM L.FACIIdTY INFORMATION FACILITY ID#(Agency Use Only) I I I _ I I I 1 -1 1 1 1 1 11 BUSINESS NAME(Same as FACILITY NAME) ` ) 'r` c c %( iL(� BUSINESS SITE ADDRESS 19 )5 ✓/ m CITY fU� 101 IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE TcetinB,prewntlw maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,elc.)must be performed at the t1requency 4peoified by the equipment manuf2cturen'inatnution3,or annually,whichever is mono frequent,and thea such w ,k must be performed by qualified personnel. CCR 2634 2634 2638 2641 MONITORING EQUIPMENT IS SERVICED 1&1.ANNUALLY ❑ 99.OTHER(Spxiryy ,9ao'6,,3e F2 ;,.,.•iys� rr' :13'9'' a:TM,F;..�'"y`'.;a« e _ .__ ,. . .. .-✓ ..,._ � :-.IIIa1iON1TORWG:I:OCATIONS'�. .`'.. ... .: �.... . I.NEW SITE PLOT PLANA4AP SUBMITTED WITH THIS PLAN. 02.1ITE PLOT PLAN/MAPPREVIOUSLYSUBMITTED. (23CCR12A3; • 7 `,I T S ipN3T;kWO IS PERFORM I)YSING TIkFFQLLOWRgr,METHOD(S): LX 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR MITERSMIAL)SPACES)OR SECONDARY CONTAINMENT 4m't YAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR 12632.2&U) SECONDARY CONTAINMENT IS: a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM ° PANEL MANUFACTURER: 49[67- MODEL#: 990.[6 LEAK SENSORMANUFACII.IRER: °SVFa. MODEL#(S): 4W10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE W_ A�. L Tl ANS(23 CCR§2643) 490.1 1 PANEL MANUFACTURER: 4[612. MODEL#: 4913 IN-TANK PROBE MANUFACNRER: Nada MODEL#(s): 4WIS LEAKTPSTFREQUENCY; ❑ s.CANTIN000S ❑ b.DAILY/NIGHTLY ❑ a WEEKLY �4W16 0 d.MONTHLY [] c_OTHER(Si :_ W[619 PROGRAMMED TESTS: ❑ a 0.1 gp.h. ❑ b.0.2 g.p.h. ❑ a OTHER(Specify): isois ❑ 3,MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR 12616.1): 4ww ❑ 4.WEEKLY MANUAL TANK GAUGING(THTC)(23 CCR 12644 TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 491 na3a ❑ 5.TANK INTEGRITY TESTING(23 CCR 12643.1): TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): °49043 ❑99,OTHER (Speedy): Mb}dITORIIVG 3S•PE1tFORhiED.II6ING THE POLLOWING]HETHOD(S7(Ctieck antLat 5Pp1}) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND N[6a3 VISUAL ALARMS (23 CCR§2636) SECONDARY CONTAINMENT IS:QQe DRY ❑b.LIQUID PALLED ❑e.PRESSURIZED ❑d.UNDER VACUUM 44[6[6 PANEL MANUFACTURER: "' MODEL#: X-�Le S _ I LEAK SENSOR MANUFACTURER: 4,_4,•,� °5[63[6 l MODEL#{S)� L_ � °5[633 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(Lc„TURBINE)SHUTDOWN. JR a.YES ❑b.NO Na34 FAI.UREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. M t YES ❑b.NO 49[635 PL 2.MECHANICrV.LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p•h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLAW WHEN A LEAK IS DETECTED CCR 44[635 MLLD MANUFACIURER(S):. taF •t d9�a�MODEL#(S): - 4O-gip"Ie ❑ 3.ELECTRONIC LOVE LEAK DETECTOR(FLED)THAT OUTINELY PERFORMS 3.0 g.p.b.LEAK TESTS (23 CCR 12LAN4d9 ELIA MANUAA S °9040' I MODEL PROGRAMMED IN LINE LEAK TEST: ❑ 1,MINIMUM MONTHLY 02 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 4foa2 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO Pr T n FAILURMISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. [11,YES ❑b.NO 416'1° ❑ 4.PIPE INT7EGRTTY TESTING 4 s TEST FREQUENCY Q LANNUALLY ❑ b.EVERY YEARS ❑ c.OTHER(Specify) Na46Nan 5.VISUAL PIPE MONITORING. Now FREQUENCY ❑ a DAILY ❑ b.WEEKLY ❑P.mm.MONTHLY a EACH TME SYSTEM OPEEATPrY Ntwa SUMO TMibnn mwauti.a to red odv MSC i3ae1.3(hN3) ❑ 6.SUMOO PIPING MEETS EXEMPTION CRITERIA 123 CCR 12636p)(3)I• 4s[6so Lj 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 45 1 '] 99.OTHER(Specify) 4[6a 4%oJ3 IfPCF I:.NT-D ltt2MT t/d