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'IED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING]PLAN (Page 2 or 2) VI.UNDER DISPENSER CONTAINMENT(UDC) MONITORING . UDC MON[ ORING IS PERFORMED USING THE FOLLOWING METHOD 1,CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY .unuae ❑ 3.ELECTRONIC STAND-ALONE ❑J.NO DISPENSERS ❑99,OTHER(Specify): __ PANEI_MA WrAMURER:Vecdarmal 4MF55 MODEL#:TL53011C LEAK EN RMANUFACTURER:Vicedcraal }91F57 MODEL#(S):79d3RU•2Ug ..� +'�11-cn l DET@CI'Ip OFA LEAK INTO THE UOC TR IGGERS AUDIBLC•AND VISUAL ALARMS ® a.YES ❑b.NO •1°°"' UDC LEA ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ® a.YES ❑b,NO FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP Si IUTDOWN. R ',YES ❑b.NO _UDC MON PORING STOPSTHE FLOW OFPRODUCTATTHE DISPENSER. ® n.YES ❑b.NO 491u,2 2.UDC CONS UCTION IS ®I.SINGLE-WALLEI) ❑2,DOUBLE-WALLED S�UiFTII IF DOUDL.WALLED: - -- 9u.w,l UDC[NTE STITIAL SPACG IS MON 11.011ED BY: O I.LIQUID 2. ❑ PRESSURE [13.VACUUM A LEAK WITHINTHE SECONDARY CONTAINMENTOFTHE UDCTRIGGERS AUDIBLE AND VISUAL ALARMS ❑u.YGS ❑h. NO VQ.PERIODIC SYSTEM TESTING I. ELD TT ING:THIS PACIUTY HAS BEEN NOTIFIED BY TIIE STATE WATER RESOURCES CONTROL 60AIZ11 'I'I IAT ENHANC"D 4'111.45 AK D E ION CELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTIIS AS REQUIRED_( CCR�26JJ _ _ ®-SECOND RY CON'TAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS, a9o-1H, [.SPILL BU KETSARETESTED pNNUAi.LY. — +9a+,- i VIII.RE,CORDKEEPING — Thu following am litOdlig/Inzinlanance records:re kept for this facility: ®Alarm logs r1wm, ❑Visual Inspection Records 490.681, ❑Tank integrity testing r051111is.I91144 ❑SIR testing re IIs(and supporting documentation records). 491I.Ml ® yank gauging results(and supposing documemmiion records). neo-rate N ATO Testing rmulis(and supporting documentation records).amuxr ❑ Corrosion Protection 60-day logs mnraeg Equipment ran 'q p monnnce and calibration records. a9oann h ui 11 1 IX.TRAINING ®Pursonnel Willi UST monitoring responsibilities are familiar with all of the following documents relevant to their)ob di 47tl.rna iEFERENCE E OCUMENTS MAINTAINED AT FACILITY(Check all oral apply) ® TRIS UNI ERGROUND STORAGE TANK MONITORING PLAN(Required)490.a9h ® OPERATI G MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)amt.ax ® CALIFOR 41A UNDERGROUND STORAGE TANK REGULATIONS.9xl.rna ❑ CAI.IFOR NIA UNDERGROUND STORAGE TANK LAW 490.r9v ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATIS )CAL INVENTORY RECONCILIATION"amunr ❑ SWRCB P BLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYS'T'EMS"axw9g ® OTHER( ecify):htn mra ®This facility II o`Designated UST Operator"who has passed the California UST System Operator Exnm administered by the International Code Cauncil(ICC). I The"Designated L ST Operamr'will train filcility employees in the proper operation and maintenance of the UST systems annually,and within 30 Jays of hire This [mining will inclu ,but is not limited to,the following: 7 Operation orme Us'r systems in u manner consistent with the facility's best management practices The facility eemployee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan r The facility mplayee's rale With regard to spills and overfills as specified in the USI'Response Plan D Names of nlact person(s)far emergencies and monitoring alarms.49(1-70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate lima many pages wish:uldilional information on specific monitoring procedures arc attached to this FIRM 1110-71 ' Spilt Bucket around fill pipe-90%N shun down Mapper valve, XI.PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:1)the daily/romine UST monitoring activities and maintenance of UST leak detection equipment covered by_i Ihisplan occurs,2) II conditions[hit]indicate a possible release ure investigated,and 3)all monitoring records are maintained properly. The fallowing pers Fula)are responsible for performing the monitoring and equipment maintenance: NAME Sam Alburtis .Ixr•n TITLE Shop Manager aI6D NAME Don McILmIh rmaa 'TITLE Designated Operator UST 49675 'The Designed Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/opennor of Filly mndiitons that nee follow-u action. 16 XII.OWNEWOPERATOR SIGNATURE ERTIFICATI N: I certify that the information provid herein is true and accurate to the best of m knowledge. APPLICANTSIG TORE rxwa DATE: re1.n 5/17/2010 `x ..aim II ] I'a�i 1-1h41x J 91 mritnllte ,-a APPLICANT NAM (print): 491X11 APPLICANTTITLE: "xFnr Steven Ray Tuc er Regulatory Compliance Manager parr ncT_n nor 1171 ird