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UNIFIED PROGRAM CONSOLIDATED FORMti, UNDERGROUND STORAGE TANK MONITORING PLAN-(Pate I of 2) TYPE OF ACTION [11.NEW PLAN ❑ 2.CHANGE OF INFORMATION 49P1 PLAN TYPE ❑ I.MONITORING IS IDENTICAL FOR ALL USTS AT THIS FACILITY. 4902 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(C) I. FACIILITY INFORMATION FACILITY ID#(Agency Ure Only) _ _ I BUSINESS NAME(Same as FACILITY NAME) �.� 3. BUSINESS SITE ADDRESS - / °/� 103- CITY IN, H EQUIP 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 be performed by qualified personnel. 23 CCR 2632 2634 2638 2641 MONITORING EQUIPMENT IS SERVICED1.ANNUALLY 46x34 ❑ 99.OTHER(Specify): 4s 3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 4904 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 46 PANEL MANUFACTURER 690'3 MODEL#: 4soa LEAK SENSOR MANUFACTURER V , tsb P 490.9. MODEL#(S): '-J O ♦ 4ao-10 Lj 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKIn(23 CCR§2643) +sof 1 PANEL MANUFACTURER: 490'12 MODEL#: 49x13 IN-TANK PROBE MANUFACTURER: °901°. MODEL#(S): 090.16 LEAK TEST FREQUENCY: ❑ a CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 49°'16 ❑ d.MONTHLY ❑e.OTHER(Specify): 090.13 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ c.OTHER(Specify): 49x38 49x19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 49 10 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a 36 HOURS ❑ b.60 HOURS 49x21 Ll 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 4s TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 090'10 49°25 ❑99.OTHER (Specify): 4sOn 49°.93 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check aU that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND Q,THER SECONDARY CONT NT WITH AUDIBLE AND -4 n -VISUAL ALARMS. (23 CCR§2636) 47 N /K(/ SECONDARY CONTAINMENT IS: DRY.0b.LIQUID FILLED OC.PRESSURIZED d.UNDER VACUUM 490.29 PANEL MANUFACTURER 9 brX,_ O 490.3° MODEL k _ 090.31 LEAK SENSOR MANUFACTURER F f p F1.f, J4,rvpl49x31 MODEL#(S): 9 4 '� _ 49°x3 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. % YES ❑b.NO 49°34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN, M&YES ❑b.NO 49035 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 490.M MILD MANUFACTURER(S): 490.3 MODEL#(S): 490.33 3.ELECTRONIC LIVE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§1636) 4s 39 ELLD MANUFACTURER(S) V F °90.40 MODEL#(S): b Q S 490.41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.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. 'U a YES ❑b.NO 4sm43 ELLE)FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. -,0 a YES ❑b.NO 09041 4.PIPE INTEGRITY TESTING 49049 TEST FRE UENCY a ANNUALLY b.EVERY 3 YEARS c.OTHERS if 4g4FM4ya43 Lj 5.VISUAL PIPE MONITORING. 4909; FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY @ EACH TIME SYSTEM OPERATED- 49°49 •Albasa Z-N of-M avant fuel - oN HSC n21IL5 3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(aX3)1• 49°90 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM 490.51 ❑ 99.OTHER(Specrfy) §sass 49053 UPCF UST-D(122007)1/4