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�NIFIED PROGRAM CONSOLIDATED FOR* <br /> UNDERGROUND STORAGETANK <br /> MONITORING PLAN (Page 2 of 2) <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> V]. U,�/C MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54-7 <br /> I.CONTINUOUS ELECTRONIC MONITORING490-54b <br /> ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE <br /> ❑ 4.NO DISPENSERS ❑99.OTHER(Specify). _ <br /> 490.55 J �- <br /> PANEL MANUFACTURER: EL MODk: �.c2 <br /> LEAK SENSOR MANUFACTURER: 490-5 MODEL i!(S): 490-58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS 'g2157'?ES ❑b.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN �p� O 490.60. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. els S 4"41 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. 49 a. 0-6NO 49x62 <br /> 2.UDC CONSTRUCTION IS 15K.SINGLE-WALLED ❑2.DOUBLE-WALLED 490.63 <br /> IF DOUBLE WALLED: ago-64e <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ 1.LIQUID ❑2.PRESSURE ❑3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490-646 <br /> VII.PERIODIC SYSTEM TESTING <br /> ❑ L ELI) TESTING. THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. <br /> LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS ASP EQUIP ED.(23 CCR§L644.] <br /> ECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. <br /> __ ____________TIES_________———_ __—______.__ _ —_____ -------------- - <br /> SPILL BUCKETS ARE TESTED ANNUALLY. <br /> ------- 490-6J <br /> VIII.RECORDKEEPING <br /> Th�ollowing monitoring/mat nance records are kept for this facility: <br /> ISI Alarm logs 490-6ea Visual Inspection Records 490-681, ❑Tank integrity testing results 490-68e <br /> ❑SIR testing results(and supporting documentation records). 49o-68d ❑ Tank gauging results(and supporting documentation records). 490-68e <br /> [❑ 90- <br /> TG Testing results(and supporting documentation records).46&f El Corrosion Protection 60-day logs 490-68g <br /> Equipment maintenance and calibration records. 490-68h <br /> IX.TRAINING <br /> Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 490-69a <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> Q-ffHIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-696 <br /> O'OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49M% <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69, <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"490-69f <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49os9g <br /> OTHER(Specify):M69h,M69i <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a manner consistent with the facility's best management practices <br /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> ➢ The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> ➢ Names of contact person(s)for emergencies and monitoring alarms.490-70 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The following persons)are responsible for performing the monitoring and equipment maintenance: <br /> NAME C rS//T/1/� 490-72 TITLE 490-73 <br /> NAME $"1 LN 490-74 TITLE A1199k- 490-75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> XIL OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE 490.76 DATE* 490-77 <br /> 0.�ID;� ner/O,calor 3 A rh rued Re resen�ative of Owner - /e-//6 <br /> APPLICANT NAME(print): 490-71 APPLICANTTIT,j-E: - 990-79 <br /> UPCF UST-D(12/2007)3/4 <br />