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-- UNIFIED PROGRAM CONSOLIDATED FORM !-_— CNDERGROUNDSTORAGETANK MONITORING PLAN (Page2of2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING—__ 1. 1,'.DC LION I'I ORING IS PERFORMED USING THE FOLLOWING METHOD 4wt•s46 L.✓ ❑ 1.CONTINUOUS ELECTRONIC MONITORING ® 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE J NO DISPENSERS ❑9e.OTHER(S eei ): Q------ ---------- —`�--- -------- ----- - --- -- ----- - PANEL MANUFACTURER:.Bravo J9p'S5 MODEL k'. con-so .______ ------- 4-5a _ _ __.._____._._._._ LEAK SENSOR MANUFACTURER' 490's� MODEL q(S)'. _J0's DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS L] a,YES ®b.NO 190'$9 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ®b.NO 40 . FAILURE./DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. E] a.YES ®b.NO UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ® a.YES [I b.NO 490°2 9o�s 2.UDC CONSTRUCTION IS ®I.SINGLE-WALLED ❑2.DOUBLE-WALLED 90�. IF DOUBLE W.4LhF.D: '. UDC INTERSTITIAL SPACE IS MONITORED BY:_MI LIQUID []2.PRESSURE 3.VACUUM A.LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO °p0d0b _---- Vli.PERIODIC SYSTEM TESTING I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49045. LLk DETECTION IEI,DI MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED_{23_CCR§264A — ®2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49a6e ®3.SPILL BUCKETS ARE TESTED ANNUALLY. 49o.n7 VIII.RECORDKEEPING the following monimring/maintenance records are kept for this facility'. ®Alarm logs 49ms. [id Visual Inspection Records 490d3h ❑Tank integrity testing results 49mec i]SIR testing results(and supporting documentation records). 49 3el C Tank gauging results(and supporting documentation records) 4w0 u [I ATG Testing results(and supporting documentation records).490-asf ❑ Corrosion Protection 60-day logs 4o0-eas ®Equipment maintenance and calibration records 49°.5911 ___—__---- IX.TRAINING ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant in their job duties. 49n491 REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)~b [Z OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)49 v, ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49049d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 4w % ❑ STATE WATER RESOURCES CONTROL BOARD(SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"49nsvr ❑ SWRCB PUBLICA77ON."UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"49oe9y ❑ OTHER(Specify);w9h.M69i - U0 This facility has a"Designated UST Operator'who has passed the California UST System Operator Exam administered by the International Code Council(ICC). 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 training will include,but is not limited to,the following: Y Operation of the UST systems in a manner consistent with the facility's best management practices i Y The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan Y The facility employee's role with regard to spills and overfills as specified in the UST Response Plan Y Names of contact Persons)for emergencies and monitoring alarms 490-70 X. COMMENTS/ADDITIONAL INFORMATION; Provide additional comments here or indicate haw many p fes with ad,htionsi information an specific monitoring pryy,cedures are attt�ache)to J�is plan.490,-9i Overfill Prevention=drop tube with mechanical flapper set at 95%. R•e tac�.vt 12em+d+ IaeP'f o4Ynei4r a+ C.i4aie LFI-"v QG� 12e wAr6� 140 Gro tilt Werk Cov,4 XI.PERSOWEL RESPONSIBLUTIES The UST Owner/Operator is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of(IST leak detection equipment covered by this plan occurs,")all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following persons)arc responsible for performing the monitoring and equipment mamteatance'. NAME Mike Eliason San TITLE C rdlock Mananer 9p 71 NAME James Ab Ott 490,74 TITLE Site Technician 490-75 The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the ownedoperator,and inform the owner/.pe anar of any conditions that need follow-up action. _ -- --- --- XII.OWNERIOPERATOR:SIGNATURE --- _----- '. CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICAN'I'SIGNATURE490-76 DATE: 49an 3111r2009 p APPLICANT NAME(print). t 49°76 APPLICANT TITLE- 49am Mike Eliason Cardh3ck Manager UPCF UST-D(I212007)3/4