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ARL <br /> Wr UNDTED PROGRAM CONSOLIDATED FO <br /> UNDERGROUNDSTORAGETANK <br /> MONITORINGPLAN (Page2of2) <br /> VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDgC MONITORING IS PERFORMED USING THE FOLLOWING METHOD <br /> eso-sro <br /> L CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAN0.ALONE <br /> ❑4.NO DISPENSERS ❑99.OTHER(S <br /> PANEL MANUFACTURER: e e r 4so-ss MODEL#: L S "a <br /> LEAK SENSOR MANUFACTURER > 49P5 <br /> 7 <br /> MODEL#(S): 2 O k <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS &4YES [3b.NO 4W" <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN Vya.YES [Ib.NO 4� <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑b.NO a90'bt <br /> UDC MONITORING STOPSFLOW OF PRODUCT AT THE DISPENSER Q'`.YES 11b.NO 4s <br /> 2.UDC CONSTRUCTIONS 1.SINGLE-WALLED ❑2 DOUBLE-WALLED 4m <br /> IF DOUBLE WALLED: 4sas4. <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: 1.LIQUID 2.PRESSURE El 3.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a YES ❑b.NO 690"60b <br /> VII.PERIODIC SYSTEM TESTING <br /> 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 4� <br /> LEAK DETECTION(ELDI MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR§2644.1 <br /> V11--SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49 <br /> 3.SPILL BUCKETS ARE TESTED ANNUALLY. 4vo.b7 <br /> VIII.RECORDKEEPING <br /> Th flowing monitoring/mainummice records are kept for this facility: <br /> Alarm logs 4vo-b8. ❑Visual Inspection Records 4w.bsb ❑Tank integrity testing results 4s k <br /> ❑SIR testing results(and supporting documentation records). 4so.bsd ❑ Tank gauging results(and supporting documentation records). 4so-see <br /> ❑ATG Testing results(and supporting documentation records).4s ❑ Corrosion Protection 60-day logs 4vosas <br /> ❑Equipment maintenance and calibration records. 4s <br /> IX.TRAINING <br /> ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties. 4s % <br /> REFEAENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> bA�yTHIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490 % <br /> tQ OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)4soss4 <br /> ffrCALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 4v w <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 45o4;v. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"4mbvr <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"4vo-bss <br /> OTHER(Specify):MM mim <br /> to This facility has a"Designated UST Operator'who has passed the California UST System Operator Esam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employ=in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This <br /> training will include,but is not limited to,the following: <br /> D Operation of the UST systems in a manner consistent with the facility's best management practices <br /> D The facility employee's mle with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> i The facility employee's role with regard to spills and overfills as specified in the UST Response Plan <br /> • Names of contact person(s)for emergencies and monitoring alerms.4w-m <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments or indicate how many pages with additional information on specific monitoring procedures are attar to this plan.4W71TV/ 0�� � If �r�✓en�:vil = .�s� <br /> y yn�chica jI�i��j?rk <br /> XL PE ONNEL RESPO SIBIT.ITIES <br /> The UST Owner/Opermor is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST leak direction equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring Pounds me tried properly. <br /> The follo g person(s)are responsible for performing the <br /> NAME N7F\Z. iNGIf S4torg o- iTpImTeLnEt mai ce <br /> 4vo-n <br /> NAME A v,tt% f S 6.t 4vo-r4 TITLE 4sa75 <br /> The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> XII.OWNFWOPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. <br /> A CANT SIGN RE 490.76 DATE: TW77 <br /> ru i <br /> APPLICANT NAME(print): °90.79 APkICAT TITLE: 4w'19 <br /> UPCF USr-D(12!200%)3/4 <br />