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IED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN- (Pae 1 of 2) TYPE OF ACTION 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 4902 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1, BUSINESS NAME(Same as Facility Name or DBA) 3. 3 BUSINESS SITE DRESS C 11 10� u r C` OS cM ly �J� CITY 104. IL EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified the equipment manufacturers'instructions,or annually_whichever is more fre9uent_Such work must be performed qualified personnel_123 cca§2632,2634,2638,2641] MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER S ecif49-138. ( P `�)' 490-3b. III. MONITORING LOCATIONS -X1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN ❑ 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634, 491-0. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) iiht ack/u 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 SECONDARY CONTAINMENT IS: 9 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZEDcC ❑ d.UNDER VACUUM 490'6 ` PANEL MANUFACTURER: �-1§I 490-7. MODEL#: nIG 490-8' LEAK SENSOR MANUFACTURER: !�I� haroees . .-_ 69-19. MODEL#(S): S y 490.10. _ ------------ --- 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11. PANEL MANUFACTURER: 490-I2. MODEL#: 490-13. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-13. _ PROGRAMMED TESTS: a.0.1 g_p.h_ _❑-6.0.2-gp.h _ ❑_c.OTHER(Specify)_ 490.18. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490.20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)In CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 49021. - --------------- -'------__-_-.__.....-........................---_.-._..__-------- 4W-22. ❑ 5.TANK INTEGRITY TESTING PER[v cca§2643.11 49-123. TEST FRE UENCY 490-24 __ Q __ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 ❑ 99.OTHER(Specify): 490.26 490-27. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "heck apply)B 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. [11 CCR SECONDARY CONTAIN ME TIS: kir a.DRY 490-19. §2636] � '�- pt ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM PANEL MANUFACTURER: �tQ r[� 490-30 496-31. MODEL#: LEAK SENSOR MANUFACTURER: Lt�Q,C� 490-32. MODEL#(S): eaQ1 =00C) 490-37. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e,TURBINE)SHUTDOWN. a.YES ❑ b.NO 491-14. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑ b.NO 490-3s. Y.MECHANICAL TINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. PRODUCT FLOW WHEN A LEAK IS DET�FICTED.[v cca§2636] MLLD MANUFACTURER(S)_ �/ m� 490-17 MODEL#(S): Q Q L-z1E)00 49038. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§26761 490.59. ELLD MANUFACTURER(S): 49040' MODEL#(S): 49041. PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49012' ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490.43. ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49o-44. [1490 4.PIPE INTEGRITY TESTING. ---'---------"--------------------___----------------------'--'------------------ 45 TEST FREQUENCY: ❑ a.ANNUALLY [Ib.EVERY YEARS _❑_c.OTHER(Specify) 090°,49-1746- - -- - _...__.-.-.-. El5.VISUAL PIPE MONITORING. 490.43. FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ C.MIN.MONTHLY&EACH TIME SYSTEM OPERATED" 490-49 "AIIowM for moniloti_ngofunburied eme�ney_gwml!tor fuel .280 dyMe HSC§ 0)8261.5 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 ccR§26361aX3)] 490.50. -,_____..............._____-_____ ____________.-......________-._______________.._________-________. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490x1. -'-------_______-'----'----'--------__.-_.--------.._.._........................ _ _ ❑ 99.OTHER(Specify) ----- -153. 490.57. UPCF UST-D(1212007)-1/4 www.unidocs.org