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NOV-13-2013 15:09 From: 2098254549 T04683433 Pa9e:5119 <br /> RECEIVED <br /> NOV 1 013 3 <br /> UINI V ED"PROGRAM CONSOLIDATED FORM r <br /> UNDERGROUND STORAGE TANK NT <br /> NPI'Oot3 <br /> TYPE OF ACTION Q I.NEW PLAN 'tiORING PLAN- I C] 2 CHANGE OF INFOEMATION T E <br /> 1 PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTI AT THIS FACILITY. <br /> C •9cl <br /> AaGc opc inm Only 2.THIS PLAN COVERS ONLY THE FOL(,OWING UST SYSTEM no-I <br /> FACI.ITY ID a(Agrney UaeY) I• FACILITY�I'ORMATION <br /> }.BUSINESS NAME(Sam®as FACILITY NAME) p f - I <br /> BUSIVPSS SITE ADDRESS —1 UuG � '• �� tl t k, I <br /> "7 � . ack 11 11Iw CITY <br /> h IL EQUIPMENT t �A( <br /> Timms Preventive maimnwwe,and calibragon of M01001 Ing <br /> AND PREVENTIVE MARVTENANCE <br /> spccrr1Cd by tho equtpmcnt man B equIjI(e.3.,scasma,PmyS line leak da 11!I,*X-)must be perill at the frnq.,q <br /> Irficnrzers'lnstruehog5,W ennually,wbichnver iS mpN fiequerA and that sucL work mWt Dnrfornud <br /> 2J CCR y2632 263a 2678 z6a 11 <br /> I MONeTORiNG -'—' � Pe by gtwlified pergormet <br /> t- EQULPMBNT 6S 3ERVIC;D i.ANM)A LLY^�T <br /> � Q 99.OTNER(SDoeif"y): •ao-r• <br /> I.Nsw E$LGTP I MONIT G LOCATIONS '9°'a <br /> 2f+30 LAN/MAF SUBMITTED WITH THIS PLAN. 2.3TPE PLOT [AN/MAP PREVIO LY BIJB <br /> '• tV.TANK MONITORING IS PERFORMED USING THE FOLLOWIN(,11TETgoD(3); �CCR 3633, <br /> 1 COMEVUOt95 ELECTRONIC TANK MONITORWG OF ANNULAR(lN1'[RST IAL)SPACE($)OR SECONDARY CONTAINIri)i uo.s <br /> YAULT(S)WI'(TI AUDIBLE ANO VI$UAL ALARM& (33 CCR X202,3631 <br /> SECONDARY CONTAIN ) <br /> 1- _..—._._ CONTAINMENT IS. a.DRY [] b.LIQUID FILED <br /> PANEL Mq-NUFA ❑ c.PRESSUWbfiD 0 d.UNDER VACUUM <br /> pne <br /> t CIURER: •e� 1 •gar, <br /> LEAK SENSOR MANUFACT[JRER: latr— <br /> 2 AUTOMATTCTANiC GAUGINGCf e9as. I MODELq S: �-- <br /> 7l Priv <br /> TO R3DV.IP `aso�n <br /> PANELANUFACT <br /> MURER; .-. Wwtr r•u...e. (�C <br /> M-TANK PROBE MAN TORE - �.�_..._.�la' MODEL III +9au <br /> ILEAK TESX FREQUENCY: - -- I4 MODEI <br /> ❑ :ONTTNUpU5 •sols <br /> ❑ b.DAILYMiGHTLX <br /> a PROGRAMMED TESTS. - ,ON7'f .Y <br /> ❑ a,0.1 .._.,.�e.OTHER(Sffct-(yJ� aoon <br /> Ci 3 MONTHLY STAnSTICAL DNVENTORX RBCONCN,7ATTON(13 CCR ❑ c.OTMR(Spaciry): _-'19x18 <br /> ❑ a WEEKLY X3666-Ik i901 <br /> MANUAL TA AUG CR(MPC)(33 CCR 63665} TESTWO PERIOD: t9aiu <br /> TAMC DVTRGRITY T O(33 CCR d x.36 HOVA49 [] D.ti0 HOURS '9P11 <br /> TEST FREQUENCY' UY§2643.1)' wwu <br /> ❑ BIENNIALLY Q e.OTHEK(Specify): � ��y .taxr <br /> ❑99. (Specify): «eau <br /> V. IPE MONITORING F PE Ilil USING THE FOLLOWING META .ears <br /> I I. IINUOUS MONPPORING O PIPE]PIPINGS u <br /> VISUAL ALARMS, (23 CCR$3tue5) UMP(&)AND OTHER SECONDARY CONTA �(Check AH kU2t an ) <br /> SECONDARY COM GARY raENT'WITH AUDIBLE AND ,gpy <br /> r-- �AlVtvtENT�: LI UID FILLFiD ❑c.PRFSSUWZSp <br /> PANEL IAANUFACTU_ � �„ �1r�v ❑d.UNDER VACUUM p ese.ry <br /> �_�_ LEAK SENSOR MANUFACTURER: -�7L-��L-d.L C MODfiL A: "r "�'- 00-31 <br /> PIPING LEAK ALARM TRICG13RS AUTOMATIC p -`"` 32 I MODE.x(S): '�„ <br /> (Ie,TURBINE)SHUTDOWN, •sou <br /> rLURPiDISCONNECTION OF THF.MONITORING SYSTEM TRIGGERS a. ❑b.NO •9ak <br /> 2. CAL 1Ar$L$AK DETECTOR(MI-LD)TEAT ROUTIYELY PETRPORMX 9.0gp 8i9i)'IDO WN. YES ❑b.NO •sa3r <br /> _-._.SRO-LD FLOW_ CTVMWHENA L y, [IS DBT.Ti AR 3 CCR 3a�6).`- &W0. K TESTS AND RESTRICTS OR SUM OYP <br /> -LD ry,ANUPACTURIE): _ <br /> [] 3.ELECICRONIC LIVE LEAKDBI'ECTD .sasx MODEL S) <br /> R I I..LI)TEAT ROUTINELY P/RPO Iwo <br /> _ EW.D MANUFA gj�"^-- RM5 a.0 q.p,b.LEAK TF_,n (3q CCR <br /> L'~ •so.•o. ' !9079 <br /> PROORAwxMEp INLINE LEAK TEST' ❑ I hIT(IMUbI MONTHLY O 2MODEL S: " <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATA:?Ug. ❑ 3. ANN p,t g.p,h. .x.y <br /> SLLD FAILII{F/DLSCONNECTION MP SHUTDOWN TRIGCrERS AUTOMATIC PUMP SHUTDOWN, ❑b-NO °9Pal <br /> 4.P WB INTEOR1lTY TF.SI.(N y YES []b.NO •ro+a <br /> rESrp IIENCY ANNUALLY y VERY3 Y6 R3 <br /> S.VISUAL E ra0 KING_ o'ITLER 9 <br /> N UET9CY DAILY ❑ b.wEBKLY c.MLN 49P4699"7 <br /> ^rmbunW i. MDkiTALY a.EACk T{rm sY3TEM OPERwTED• M41 <br /> ❑ 6,SUCTION$IDiNG MEETS EXEMPTION nl. 19019 <br /> T NO REGULATED PIPING PBR C7IPTERIA[zt CCR g . <br /> ' •I? 1 NBALT'N AND SwFETY CODE, ,CIiA, K&71S C •9aso <br /> •, Q, 99 OTRER(Spaciry) LIED TO T TAMC SXSTBM <br /> 1p 19659 : <br /> .sws <br /> PAID <br /> Uhlr ua't-0(IArA )I/< <br />