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IWIWD PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MW MONITORING PLAN- (Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONITORING (Check all UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) thara l) ® 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490-54a. ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify)--`--------- -- --- - 0-9-son. LEAK MONITOR MANUFACTURER:Veeder-Root 49055. MODEL#:TLS-350 a9as6. LEAK SENSOR MANUFACTURER:Veeder-Root 490-57' MODEL#(S):794380-208 490-58. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a.YES El b.NO 490-59.UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN, ® a.YES ❑ b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑ b.NO 490-61. UDC MONITORING STOPS THE FLOW OF PRODUCT'AT THE DISPENSER. _® a.YES ❑ b.NO 49-62. UDC CONSTRUCTION iS: _....___._____ ® 1.SINGLE WALL `-______._-..-____..___.-___-_ IF DOUBLE WALL: ❑ 2.DOUBLE WALL 49-63. UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE 496-fi4a ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490 Mb, VII. PERIODIC SYSTEM TESTING 1.PLD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 49-65. LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE REQUIRED.123 cctt§2644.p 29 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66. IN J.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67. VIII. RECORD KEEPING The following monitoring/maintenance records are kept for this facility: 490-68. ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ C.TANK INTEGRITY TESTING RESULTS ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e,TANK GAUGING RESULTS(and supporting documentation records) ® I.ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® It.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING Personnel with UST monitoring responsibilities are familiaz with all Of the following documents relevant to theirjob duties: 490-69a. REFERENCE DOCUMENTS MAINTAINED AT FACILffy(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 490-69b. ® OPERATING MANUALS FOR ELECTRONIC MONITORING 1"sQU1PMENT(Required) 49-69c ❑ CAL�'ORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69a ❑ CAL]FORNTA IWDERGROIWDSTORAGE TANK LAW 49069e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49-69t. STATISTICAL INVENTORY RECONCILIATION' ❑ SWRCB PUBLICATION:"IJNDEItSTANDING AUTOMATIC TANK GAUGING SYSTEMS" ❑ OTHER(Specify): 49-69g. 490 fi9h. This facility has a'Designated UST Operntor who has passed the California UST System Operator Exam administered by the In[ema[ional Cade Council 49-70. (ICC). The "Designated UST Operator"will it 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: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices. ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. ➢ Name(s)of contact person(s)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490-71. Overfill protection-Flapeer XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that: l.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered _.by this_2lan occurs_2.)0-B conditions that indicate aEossible release are tovestiga[ed_and L)all moni[orinyzrecords are inmtain0Pop alY_.-__---- THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORM WG THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Ian Moorhead 49-]z TITLE:Environmental Compliance Manager 490-73. NAME: Jivtesh Gill 490.94. TITLE:Franchisee 49x75. The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any conditions that need follow-uaction. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE DATE. 49077 EF.PP,ESENMNG:[3: Tank Ownu/O rotor 0 2.Facila O amt I®3.Aurhorizei Re uurafias of Owrer 490-]6. P APPLICANT NAME(print): 490-78. APPLICANT TITLE: 490-79. Ian Moorhead Env. Compliance Mgr. UPCF UST-D(12(2007)-3/4 www.unido".org