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Feb. 4. 2009 3:45PM No. 1797 P. 2 UNIFIED PROGRAM CONSOLIDATED FORM LNDERGROUNDSTORAGETANK MONITORING PLAN-(Page I ora) TYPE OF ACTION ❑�q 1.NEW PLAN 2,CHANGE OF INFORMATION 49o.t PLAN TYPE 'f"1.MONTFORING IS IDCAL FOR ALL USTs AT THIS FACILITY. + Check one item oNy) ❑ 2,THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(91 1, FACII:ITY INFORMATION FACILITY ID If(Agenry Use Only) I I I _ _ s BUSINESS NAME(Same M FACILITY NAME) r� s.w'I I 'fir r(.r' BUSINESS SITE ADDRESS 1815 W . L.dW nos. CITY /rbc M 104. IL EQUIPMENT TESTING AND PREVFNITVE MAINTENANCE Testing,prevcntivc maintenance,and calibration of monitoring equipment(c.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the cquipmant maeuP4caoers'inswetions,or arm udly,whichever is mom frequent,and that such work must be performed by qualified personnel. 23 CCR U632,2634 2638 2641 MONITORING EQUIPMENT IS SERVICED ES 1.ANNUALLY ❑ 99.OTHER(Specify), 4� -UL-MONITORINGLWATIONS Ei I.NEW NITE-FM PLAN/MAP SUBMITTED WITH TIDS PLAN. W 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, W TANK-MUNITORTNG IS:PERFORMED'I)SDVG THE FOLLOWING METHOD(S):. Lx I.CONTI UOUS ELECTRONIC TANK MONITORING OP ANNULAR(DNTERSTFTIAI,)SPACE(S)OR SECONDARY CONTAINMENT VAULTS)WITH AUDIBLE AND VISUAL ALARMS (23 CCR F2632,Mail) SECONDARY CONTAINMENT IS; a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURRED ❑d.UNDER VACUUM ° PANEL MANUF ITra yry "90.1. I MODEL#• _ 4so-s' LEAK SENSOR MANUFACTURER: 490.9' 1 MODELAS): L-S- "gala Lj z.AUTOMATIC TANK GAUGING(ATG)SYS67 EM USED TO MONITOR SINGLE WALT.TANKf51 123 CCR 12643) +Asst PANEL MANUFACTURER: 4 Iz MODEL N: °gall IN-TANK PROBE MANUFACTURER _ 4W14. MODEL#(S): 4s 13 LEAK TEST FREQUENCY: ❑ aCONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 4' 1. - 0 d.MONTISY E_e.OTHMM(Specify):____ PROGRAMMED TESTS: ❑ a.0.1 gp.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify); mxirs ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§264Q1): nazo ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR 12644 TESTING PERIOD; ❑ a,36 HOURS ❑ It,60 HOURS 49631 4s n 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 4s " TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY I] a OTHER(Specify): ❑99.OTHER (Speciryy 4x.21 4 11 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Cheek aD[hat apply) LCONTEV000S MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND I. +so-aa AL ALARMS (23 CCR§2636) SECONDARY CONTAINMENT IS;IVa DRY ❑b.LIQUIDFILLED [].PRESSURIZED ❑Q UNDER VACUUM °99'39 PANEL MANUFACTURER. 4 961p MOOING.#: .4 490.11 LEAK SENSOR MANUFACTURER: MDFL ��S 4sa�a j MODF.I, L#(S): S_3 4x"13 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN, e.YES ❑b.NO 4s0.s+ FAIL R RIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E)a YES ❑b.NO wass 2,MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.pA LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR 6263Q _ 4surn MILLI)MANUFACTUREWS): ca K... _Yw.u90Ai MODEL#(S): (LT CCR 12Q G4x39 ❑ 3.ELECTRONIC LIVE LEAK DETECTOR(ELLD)THAT UTINELY PERFORMS 3.0 g.p.h.LEAK TESTS 49o-29 ELLD MANUFACTURER(S) a9a4a ! MODEL#(S): 4 1 PROGRAMMED IN LINE LEAK TEST: ❑ L MIND"MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. Axis ! ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN, ❑a.YES ❑b.NO "90'00 ❑ 4.PIPE IVTEGRITY TESTUji6- TEST FREQUENCY ❑ a ANNUALLY C3 b.EVERY 3 YEARS In C.OTHER(Specify) ax4aax41 Ll 5.VISUAL PIPE MONITORING. 4gp,y FREQUENCY ❑ a.DAILY I] b.WEEKLY ❑C.MM.MONTHLY d EACH TAME 3YMm OPERATED• 4x49 •�brlvombrin dinbmiM .w "n i5H1.. ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA FLI CCR§263641x3)(. Asoso Lj 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6,7 IS CONNECTED TO THE TANK SYSTEM +sv-sr ❑ 99,OT'HER(Specify) 4sus: __ 4xss UPCF UST-D(12/2007)1/4