|
ft As
<br /> UNIFIED PROGRAM CONSOLIDATED FORM
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN-(Page 1 oft
<br /> TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION drat
<br /> PLAN TYPE JW 1.MONITORING IS IDENTICAL FOR ALL USTI AT THIS FACILITY, 4so.2
<br /> Ch-k one h0010nt ) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(
<br /> I. FACILITY INFORMATION
<br /> FpCI LITY ID N(Agenc3�Ute Onn/
<br /> BUSINESS NAME(Same as FACO.TfY NgME) M 3
<br /> BUSINESS SITE ADDRESS R 61SS % L !, , toz. Com,
<br /> ci
<br /> H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE
<br /> Testing,preventive maintenance,and eelibtmion of mommrina equipment(e.Q.,sensors,probes•line leak detec OI etc.)must be pertbnned at the aequency
<br /> speol8ed by the equipment manufacturers•imw rions,or annually,whichever is mote 0egtam4 wul thin such w0rk must be performed by qudiOM
<br /> 23 CCR 2632 2636 2638 Zba I) _ personnel.
<br /> MONITORING EQUIPMENT IS SERVICED L ANNUALLY [] 99 OTHER '- -` 696
<br /> (�I%)� 3.
<br /> 1.NEW SITE PLOT 69a3b
<br /> III.MONITORING LOCATIONS
<br /> PLAN/MAP SIfBMITTED WITH THIS PLAN. .SITE PLOT PLANgHAP PREVIOUSLY SliBMTITED. (23 CCR 12632,
<br /> 2634 opd
<br /> Iv.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHODIS):
<br /> I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 6965
<br /> VAULT(S)WITH AUDIBLE AND VISUAL ALARMS (23C R 12632,2674)
<br /> SECONDARY CONTAINMEMf IS: Qf a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED
<br /> _.PANE_ ANUF. - ------^^- ❑d.UNDER VACUUM 6sw
<br /> PANEL MANUFACTURER: V ro -"`...-_..". .. ._-,_.�__. -______ i..r__-_.---__._- ."-_ ....._._._.,-_,.__. "ami
<br /> ,_--- _- MODEL k:-ruS^�
<br /> LEAK SII450R MANUFACTURER: �e�e?+rte- -69as.- ---""""----.--
<br /> -------
<br /> PANEL MA I'll I V MUNITOR
<br /> DE 40
<br /> 2.All PANEL CTANK GAUGING(ATG)SYSTEM USED TO MONITOR SIN Wa TANKMODEL S): <vato
<br /> PANEL MANUFACTURER: rI sal .-1 CCR 12643) 4wit
<br /> .-. -- •. MODEL a; 69613
<br /> IN-TCNK PROBE MANUFACTURER_,..._..^„__....,....._. _ ""_".•,`..-••.--.-.--.
<br /> LEAK TEST FRE UENCY: ....- _ -.--.-. MODEL a(S): 6vo.ts
<br /> C1b.DAH.YM_IGHTLY ❑ c .-.._-.......-_.._._.-...
<br /> .WEEKLY +^e•is
<br /> d.MONTHLY.----.._.«..-_`..----.0 e.OTHER S eci
<br /> PROGRAMMED TFSTS: ❑ a 0.1h. -----_-,_.-___,_--
<br /> i�D� ❑ 6.0.2 g.p,h. ❑ C.OTHER(Specify);
<br /> 0 7.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR 12M6,IY s
<br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR 2643 d9o-zo
<br /> 5.TANK INTEGRITY TESTING(E'I I 112613,1): 1 TIES PERIOD; ❑ e.36 HOURS El b.60 HOURS 49NZI
<br /> TEST FREQU ENCY: ❑ a ANNUALLY 4W=
<br /> ❑ b.BIENNIALLY ❑ o.OTIJER(Specify): 49"
<br /> ❑99.OTHER (S pxify)t i90w.a
<br /> V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHO S Check all that apply)
<br /> 69427
<br /> )��_ x9427
<br /> 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT H DIBLE PND soap
<br /> SUAL ALARMS, (27 CCR 13636) W�f�T}
<br /> SECONDARY CONTAINMENT IS: a.DRY_ ❑b.LIQUID FILLED__ r"1 �31.14�
<br /> '-- _ ❑c.PRESSVR72ED ❑d,11NAE VACUUM 69o-z9
<br /> PA-, N6L MANUFACTURER: V --.•
<br /> - LEAKSENSOR MANUFACTURER: V -. ..-- "-- -"-- -bfODEL ai ,"_.--- , --,---_-„-_- X0.51
<br /> .-�,.�-.,...t _ -
<br /> tC=_�O{" wotz MODEL 3 .-" 69477
<br /> PIPING LEAK ALARM'(RIGGERS gUYOMA7IC PUMP(i.e.,TURBINE)SHSH-UTDOWpj ""-
<br /> .MECHANICAL
<br /> LVICTION OF THE MONITORING SYSTEM TRIGGERS AVTOMA7IC PUMP SHUTDOWN, ❑K NO 690 u
<br /> YE9
<br /> 2.MECHANIGL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3,0 ,I�a.YES ❑b.NO +sass
<br /> --� PRODUCT-_" FLOW-WHEN A LEAK IS DETECTED 23 CCR 2636 &R�•LEAK TESTS AND RES1'RICT3 OR SHUTS OFF
<br /> MLLDMANUFACTURER(S): �"..-Z.--,.,..^._.-......-------.._..-_...._. _.-
<br /> H437 699.p6
<br /> 3.ELECTRONIC LINE LEAK DETECTOR(ELLp)_THAT ROUTINELY PERFORMS 3.i yp,L EAK EM c23 CCR +ease
<br /> ELLD MANUFACTURERS) "•
<br /> RA -.�_ - ._12636)_ _ +sear
<br /> •-- - MODEL n S)
<br /> 690.10 - - ,
<br /> PROGRAMMED IN UNE LEAK TEST; '" _.-"•____,_._...._1._._ ._(._,.-.__--.."..
<br /> .......... ..... .
<br /> ❑ I.MINIMUM MONTHLY 0.2 ""' -'
<br /> g.DO ❑ 2.MINIMUM g.D.h.,........_................. �i.
<br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS pVTOMq'I'lC PUMP SHUTDOWN. ANNUAL 0.1
<br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. 18-YES 11b.NO 4.PIPE INTEGRITY TESTING dews a YES 0 b.NO 49a66
<br /> TESTFRE UENCY a ANNUALLY b.EVERY 3 YEARS Mc,
<br /> 5.VISUAL PIPE MONITORING. OTHER(S i
<br /> FREQUENCY 11 a.DAILY ❑ d90ae69w7
<br /> .
<br /> All 1I a bA b1!111!1111 1:1. WEEKLY 1:3c.MIN MONTHLY&EACH TIME SYSTEM OPERATED- 4M41
<br /> ❑ 6.SUCTION PIPING MEETS EXEMPT al IDc "ZrI. +
<br /> ION
<br /> 7CRITERIA X23 CCR 126:36(a)(3).
<br /> .NO REGULATED PIPING PER HEALTN PND SAFETY'CODE,DI VI51VN 20,CHAPTER 6.715 CONN
<br /> .90-sl 6w.w
<br /> ❑ 99,OTHERS ECTED i0 THE TANK SYSTEM
<br /> ( pacify)
<br /> 69o-5J
<br /> UPCIT UST-0(12/2007)114
<br />
|