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UNIFIED PROGRAM CONSOLIDATED FOR"` UNDERGROUND STORAGE TANK MONITORING PLAN-(Page 1 of 2) _ TYPE OF.ACTION ❑L NEW PLAN .CHANGE OF INFORMATION 490-1 PLAN TYPE ❑ 1-MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITYa9m2 (Check one item only) .THIS PLAN COVERS ONLY THE FOLLON4NG UST SYSTEM( . I. FACILITY INFORMATION FACILITY ID#(Ageno,Use On4,j _ 1 BUSINESS NAME(Same as FACILITY NAME) ; BUSINESS SITE ADDRESS ')q- 103 CITY1w. /9G p""'tgo o' It.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(0-g-7 sensors,probes.line leak detectors,etc.)must beperformed at the frequency specified by the equipment manufacturers'instmerions,or annually;whichever is mon:6equmt,and that Such work must be erfofined CCR§2631 2634.26X 2641) P by qualified personnel. MONITORING EQUIPMENT IS SERVICED ❑.]!ANNUALLY ❑ 99-OTHER(Specify): 490' 490-36 III.MONITORING LOCATIONS ❑° 1.NEW SITE PLOTPLAN�fAP SLBBIITTED IYTTH THIS PLAN. .SITE PLOT PLANMAP PREVIOUSLY-SUBMITTED CCR§2632, 2634 9w W.TANK MONITORING IS PERFORMED USING THE FOLLOWING METROD(S): L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490.5 VAULT(S)WITH AUDIBLE AND VISUAL ALATIMS. (23 CCR§2637,2634) SECONDARY CONTAINMENT IS: DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4911-6 PANEL MANUFACTURER: /�Cr? 490.7. 1 MODEL#: e , . 990'8 LEAK SENSOR MANUFACTURER: li(V 4�9' 1 MODEL#(S): 490-10 Cl 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL T NWS) (23 CCR§2643) 490-11 PANEL.MANUFACTURER: 4WI2. MODEL#: 490-13 _ IN-TANK PROBE MANUFACTURER 49o.w_ MODEL#(S): 490-15 LEAK TEST FREQUENCY: Cl a-CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490'16 --------- ------- -------'-� d_MOMHLY._.-- -'--------�c_OTHER(S 1 -: _ 490-17 PROGRAMMED TESTS: ❑ a.0.1 e.p.h. 6.01 g.p.h. ❑ c.OTHER(Specify): 4911-1: 090.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 4911-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490A1 El 5.TANK INTEGRITY TESTING490-= (23 CCR§2643.7): 490.33 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b:BIENNIALLY ❑ c.OTHER(Specify): 490.24 49025 ❑99.OTHER (Specify): 49o-M V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHODS)(Check all thatPP)Y) a 49027 L CONTINUOUS MONITORING OF PIPE!PIPING SUMPS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.26 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:EK DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d.UNDER VA_C_UUM 49 29 PANEL MANUFACTURER CO 490'30 MODEL#: lSU O 09034 LEAK SENSOR MANUFACTURER: e Ir 490.32 1 MODEL#(S): _`, -� 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.c.,TURBINE)SHUTDOWN- FK.YES ❑b.NO 4W34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN- 9-If YES ❑b.NO 49x35 2.MECHANICAL LINE LEAK DETECTOR(NILLD)THAT ROUTINELY PERFORMS 3.0 R.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED CCR 2636 MLI.D MANUFACTURER(S): OL. 490..7 MODEL#(S): ,' -P Jlf L,D 490.3649038 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) .e90a9 ELLD MANUFACTURFR(W 4914dp. i MODEL NIS), 49041 PROGRAMMED IN LINE LEAK TEST: E] I.MINIMUM MONTHLY 0.2 g.p.h- ❑ 2.MINIMUM_ANNUAL 0.I e.p.h. 490x2 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 990'13 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO 490M 4.PIPE INTEGRITY TESTING 49o-4s TEST FREQUENCY ❑ a.ANNUALLY El b.EVERY 3 YEARS Q c.OTHER(S i ) ❑ 5.VISUAL PIPE M�yO�'{TORING. 4911.064911-07 FREQUENCY M+° a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY 4:EACH TIME SYSTEM OPERATED. 49000 •MI490.49 M[fmmonimri,m orwbunN an 1--m and -n mar HSC 3361.516X3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA(23 CCR§2636(a)(3)1. 090511 ❑ 7.NO REGULATED PIPING PER HEALTH 49051 AND SAFETY CODE,DIVISION 20.CHAPTER 6.7 IS CONNECTED TO THE TASK SYSTEM ❑ 99.OTHER(Specifq) 090.53 490-53