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IFIED PROGRAM CONSOLIDATED Ft <br /> UNDERGROUND STORAGE TANK �•/ <br /> MONITORING PLAN - (Pae 1 of 2) <br /> TYPE OF ACTION ❑ 1.NEW PLAN 5 '2.CHANGE OF INFORMATION 490-1. <br /> PLAN TYPE DQ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1 <br /> BUSINESS NAME(Same as Facility Name or DBA) 3. <br /> Q o CC <br /> BUSINESS SITE ADDRES 103 CITY 104 <br /> U . C Y O O <br /> II. EQUIP ENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified <br /> by the equipment manufacturersinstructions,or annually,whichever is,more frequent.Such work must beperformed by qualified personnel._(23 Ma 92632,2634,2638,26411 <br /> MONITORING EQUIPMENT IS SERVICED Ix 1.ANNUALLY ❑ 99 OTHER(Specify).. 4W-3a <br /> III. MONITORING LOCATIONS <br /> L NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED (23 CCR§2632,26341 4904. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that( ack,u <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 4- <br /> WITH AUDIBLE AND VISUAL ALARMS.123 CCR W32,26341 <br /> SECONDARY CONTAINMENT IS: ❑ a.DRY W b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490'6 <br /> PANEL MANUFACTURER: 490.7, MODEL#: 490.8_ <br /> LEAK SENSOR MANUFACTURER: g rRST t7 PJ1 S 490-9. MODEL#(S): 7QN 380- d _090-10. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED T(TMONITOR SINGLE WALL TANK(S).[21 CCR§260-3] 490-11. <br /> PANEL MANUFACTURER: 490-12_ MODEL#: 490-13_ <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 4WIs. <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 49x16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490.17 <br /> PROGRAMMED TESTS: ❑ a.0.1 . .b. ❑ b.0.2 . .h. ❑ c.OTHER(S 1 ): 490.1918 <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[v CCR§2646.11 49x2° <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)In cell§2w51 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS _ 4y0. <br /> ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. <br /> TEST FREQUENCY: ❑ a.-ANNUALLY- [],-b.BIENNIALLY c.OTHER(Specify):_kmRiquirt" 490.2524. <br /> ❑ 99.OTHER(Specify): 490-29. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that o(Check all <br /> ba 1.CONTINUOUS MONITORING OF PIPEIPIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. <br /> [23 CCR SECONDARY CONTAINMENT IS: 1t�SyyII a.DRY C] b.LIQUID FILLED 11c.PRESSURIZED ❑ d.UNDER VACUUM 490-29. <br /> §2616] J/V <br /> PANEL MANUFACTURER: SIMI IS)p? P. p•S, 490-30. MODEL#: 490-31. <br /> LEAK SENSOR MANUFACTURER: V tuxe.Q ROOT 49032. MODEL#(S): I j H 2380 `1 a 490-33_ <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMA(i.e.,TURBINE)SHUTDOWN. - 9 a.YES ❑ b.NO 490-34. <br /> FAILUREIDISCON NIECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 151 a.YES ❑ b.NO 490-35. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36_ <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§26361 <br /> MLLD MANUFACTURER(S): 490-37. _MODEL#(S): 49x38. <br /> 3.ELECTRONIC LIME LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.b.LEAK TESTS.[23 cca426361 490'39 <br /> ELLD MANUFACTURER(S): V OLP p@ti SCM 'PIJ b 4%40. MODEL#(S): 114et49041. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2&p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42. <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 1% a.YES ❑ b.NO 490.43, <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. _ 91 a.YES ❑ b.NO 490-44_ <br /> ❑ 4.PIPE INTEGRITY TESTING. 49 15, <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS E] c.OTHER(Specify) 49 7146 <br /> 1W S.VISUAL PIPE MONITORING. 01 <br /> � 496. <br /> . <br /> FREQUENCY: % DAILY ❑ b.WEEKLY c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.49_ <br /> •Alloxed formXsc of.iAtaid.=r cygenenuofelrgx.x mlyWHSC§25281.5(6x3) _ <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[D CCR§2636(e)(3p 490-50. <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM, 490-51. <br /> ❑ 99.OTHER(Specify) 4W53 <br /> UPCF UST-D(122007)-114 www.unidoes.org <br />