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f + F UNIFIED PROGRAM CONSOLIDATED FORAMME UNDERGROUND STORAGE TANK MONITORING PLAN- Iof2) TYPE OF ACTION K1I.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490'I PLAN TYPE f3 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490.2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(R)' L FACHXff INFORMATION FACILITY ID#(Agency Use O�dy) _ 1 BUSINESS NAME(Same as FACILITY NAME) 3 BUSINESS SITE ADDRESS lm. CITY IN, U.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak defectors.etc.)most be pert'omled at the frequency specified by the equipment manufacturers'instructions,or annually,whichever is Imre frequent aha that such work must be 23 CCR 263 2634,2638 2641 perfom3ed by qualified personal. MONITORING EQUIPMENT IS SERVICED Q'1.ANNUALLY ❑ 99.OTHER(Specify): 49034 490.31, III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. M.SITE PLOT PLAN/IHAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 IV.TANK MONTTORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR OMRSI7TIAL)SPACE(S)OR SECONDARY CONTAINMENT 49x3 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ff a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4916 PANEL MANUFACTURER: r°ry Zf Oce. °�� MODEL#: L-5 .j S U 49aa LEAK SENSOR MANUFACTURER VAC 490A MODEL#(S): p 49°11 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TAINKlSI.(23 CCR§2643) 49 11 PANEL MANUFACTURER: 49atz MODEL#: 49 13 IN-TANK PROBE MANUFACTURER: °9LL1°' MODEL#(S): 49115 LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAI.YINIGHTLY ❑ C.WEEKLY °90'16 ❑ d.MONTHLY ❑ c.OTHER(Specify): 49 11 PROGRAMMED TESTS: 90.19 ❑ a 0.1 g.p.h. ❑ b.0.2 gP.h. ❑ c.OTHER(Specify): 4 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490." ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2615). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 490.21 5.TANK INTEGRITY TESTING(23 CCR§2643.1): <9�9.M TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490.24 49sa5 ❑99.OTHER (Specify): 4WM 49°17 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) .CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.29 VISUAL ALARMS (23 CCR§2636) SECONDARY CONTAINMENT IS: DRY ❑b.LIQUID FILLED 0c.PRESSURIZED ❑d.UNDER VACUUM 49019 PANEL MANUFACTURER: _ p 49x31 LEAK SENSOR MANUFACTURER -- °90'33 MODEL#(S): Ce 49°33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. Era YES ❑b.NO 49034 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. CR�"&YES ❑b.NO 490.35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR d90,M MLLD MANUFACTURER(S): 49037 MODEL#(S): . a903s 3.ELECTRONIC LINE LEAK DETECTOR LLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CC §2636) 490.39 ELLD MANUFACTURER(S) 49 L IM49°41 PROGRAMMED IN LINE LEAK TEST: ❑ I.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-02 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 0 a YES ❑b.NO 49°'43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. Wa YES ❑b.NO 49°44 71 4.PIPE INTEGRITY TESTING 49 15 TEST FREQUENCY 0 a ANNUALLY Q b.EVERY 3 YEARS c.OTHERS i 49 49 17 Lj 5.VISUAL PIPE MONITORING. 49 FREQUENCY ❑ a DAILY ❑ b.WEEKLY ❑c.MRN.MONTHLY&EACH TIME SYSTEM OPERATED- 4y0.ay •A'MI for diebi M fid PIPM a NSC Ml.s 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(1)(3)1. 49 5() 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM 490.51 ❑ 99.OTHER(Specify) 49052 490.93 UPCF UST-D(12/2007)1/4