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Ah UNIFIED PROGRAM CONSOLIDATED FORMw UNDERGROUNDSTORAGETANK MONITORING PLAN-(Page 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN 2.CHANGE OF INFORMATION 490'' • PLAN TYPE [ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490¢ (Check one Hem only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) I. FACUXrY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME)^,r11Gtn �GS BUSINESS SITE ADDRESS / " ;5 ,.y H c �w,_ 7_ 103. CITY_. � 5w. r H.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)most be performed at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is more frequent,and that such work must berformed ?3 CCR§2632,2634,2638 2641 Pe by qualified personnel. MONITORING EQUIPMENT IS SERVICED [:]'l.ANNUALLY ❑ 99.OTHER(Specify): 490.34 490.36 III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49aa IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTTITAL)SPACE(S)OR SECONDARY CONTAINMENT 49x-5 VAULT(S)WITH AUDIBLE AND VISUAL YARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: EN a DRY ❑ b.LIQUID FILLED ❑ C.PRESSURIZED ❑d.UNDER VACUUM 49 PANEL MANUFACTURER: ' r\% 1>t•! r�.. i 3 490.]. MODEL -; - 4904 LEAK SENSOR MANUFACTURER: - 1 :- !-.�.'�' 49°'9_ MODEL#(S): ._ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490.11 PANEL MANUFACTURER: 490.12 MODEL#: 490.53 IN-TANK PROBE MANUFACTURER: 490.14 MODEL#(S): 49°u LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAI,YINGHTLY ❑ c.WEEKLY 490'16 ❑ d.MONTHLY ❑ e.OTHER(Specify): 49453 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(specify): 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490.20 • ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490'31 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 49av 9o-:4 TEST FREQUENCY: 51 a.ANNUALLY [3b.BIENNIALLY ❑ c.OTHER(Specify): 4 490.2 (g99.OTHER (Specify): (4P r.., ,lt it 1 1. ;. ' �,i y :�. `. " T u °26 V.PIPE MONITORING S PERFORMED US G THE FOLLOWING METHOD(S)(Check all that apply) CR 1.CONTINUOUS MONITORING OF PlPEI PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:W DRY ❑b.LIQUID FILLED [3c.PRESSURIZED ❑d.UNDER VACUUM 490.29 PANEL MANUFACTURER �/)rr C Z.' i;� .}' 490.30 MODEL#: L2 -i j U r9a31 LEAK SENSOR MANUFACTURER: �:1 °90x3 MODEL#(S): 3 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. qa.YES ❑b.NO ° FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. aa.YES ❑b.NO 49 31 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTSt4�3 PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR MLLD MANUFACTURER(S): �':•. .-•/ j 49x33 MODEL#(S): -❑ 3.ELECTRONIC LINE LEAK DETECT (ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.L LEAK TESTS (23 CCR§2636) ELLD MANUFACTURER(S) 49440. MODEL#(S): PROGRAMMED IN LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑b.NO ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 4.PIPE INTEGRITY TESTING 49645 TEST FREQUENCY 0 a ANNUALLY 0 b.EVERY 3 YEARS Cj c.OTHERS i 4964649647 5.VISUAL PIPE MONITORING. 49646 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY E c.MIN.MONTHLY R EACH 7iME SYSTEM O(ERATED• t 49049 'AlbvaJbr. of-Mw mvu Id i' W HSC 25ffiLs .AP ', ' ' P �� ^dr�..'rD/ ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(x)(3)1. f I 49050 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490.51 ❑ 99.OTHER(Specify) 490.52 • 490.33 {7PGGfiI6T-'D('12Y2007)YAt