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ED PROGRAM CONSOLIDATED FOR?" UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VT.UNDER DISPENSER CONTAINMENT_"c)MONtif0MG 67. ¢DC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 450-54. I.CONTINUOUS ELECTRONIC MONITORING [12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER�(rSpccify): PANEL MANUFACTURER: 490'55ryODEL k: axle. LEAK SENSOR MANUFACTURER _ +9o-si MODEL 4W52 DETECTION OF A LEAK INTO THr UDC TRIGGERS AUDIBLE AND VISUAL ALARMS En-YES ❑b.NO 490.39 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN Era.YES ❑b.NO 49 60, FAILURE I DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. aa.YES ❑b.NO d90.61 UDC MONITORING STORE THE FLOW OF PRODUCT AT THE DISPENSER. B e.YES ❑b.NO 491M2 2.UDC CONSTRUCTION IS UY.SINGLE-WALLED ❑2.DOUBLE-WALLED aso.ar IF DOUBLE WALLED: 4xeae UDC INTERSTITIAL SPACE IS MONITORED BY: ❑1.LIQUID f12 PRESSURE ❑3 VACUUM A LEAK WITHIN THE SECONDARY CONTAINrMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49o-d4b VII-PERIODIC SYSTEM TESTING L ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49o.6s_ LEAK T MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE UIRED. 23 CCR 644.1) W,SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 4x-66 .SPILL BUCKETS ARE TESTED ANNUALLY. ., ... . 490.67 VIII.RECOPM10"ING T following monitoring/m i ranee records are kept for this facility: kdAlarm logs 490 -45 isual Inspection Records 4x.6sb ❑Tank integrity testing results 490-68c ❑SIR testing results(and supporting documentation records). a906ra ❑ Tari gauging results(and supportma documentation records). 490 ass ❑A G Testing results(and supporting documentation records).+so6af ❑ Corrosion Protection 60-day logs 49o-682 quipment maintenance and calibration records. 490.llh DL TRAINING Fal ersonnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 4906% REFEtj);NCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) [� 5 UNDERGROUND STORAGE 7ANK MONITORING PLAN(Required)490.696 OPERATING MANUALS FOR ELECTROMC MOMTORNG EQUIPMENT(Required)a9oa;vc ❑ CALIFORNIIA UNDERGROUND STORAGE TANK REGULATIONS a9o-a9a ❑ CALIFORNIA IJNDEAGROt1ND STORAGE TANK LAW axt9e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBQOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION`49a69f ❑ SWRCB PUBLICATION:"UNDERSTANDMG AUTOMATIC TANK GAUGING SYSTEMS"4xa9g OTHER(Specify):bt69h,st69� This facility has a"Designated UST Operator"who has passed the Califomist UST System Operator Exam annulstared by the International Code Council(ICC). The-Designated UST Operator-will train facility-employees in the proper operation and maimenance of the UST systems annually,and within 30 days of hire.This training will inclu&but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management Practices 31The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employee's mlc with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.490.76 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many arc with additional information on specific monitoring procedures ate attached to this plan.4so-71 XL PERSONNEL RESPONSIBI Lnus The UST Owner/Operator is responsible for ensuring that:1)the daily/murine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs.2)all conditions thakindicate a possible release are investigated,and 3)all nionitorine records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance: NAME 49o.72 TITLE 4 � NAME Lirvlf 0, 74 TITLE 49o-75 The Designated Operator shall perform a monthly visual inspection Of the facility, provide a report to the owner/operator, and inform the owner/opemtor of any conditions that need follow-up action. XII,OWNEWOPERATOR SIGNATURE CERTIFICATION:I certitt,that the information provided herein is true and accurate to the best of knowledge. APPLICANT SIGNATURE 490.76 DATE: 4WV 3.Aurh APPLICANT NAME(print,)' 490-78 APPLICANT TITLE: 490-79