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UNIFIED PROGRAM CONSOLIDATED FORK <br /> UNDERGROUND STORAGETANK <br /> MONITORING PLAN (Page 2 of 2) C <br /> VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING <br /> 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD gor54a <br /> 6ff 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC /�ST 9W�!B <br /> El4_NO DISPENSERS El99.OTH R S ci )_ _ _ _ <br /> MMMEW <br /> PANEL MANUFACTURER: T 4 35 MODEL N: C 49044 <br /> LEAK SENSOR MANUFACTURER: Q 490'57 MODEL H(S): 20 490.58 <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS AXI a.YES ❑It.NO 490-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN Iff a.YES ❑b.NO 49060. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. efla.YES ❑b.NO 490-61 <br /> UDC MONITORING STOPS y THE FLOW OF PRODUCT AT THE DISPENSER. Ela.YES d9b.NO 49042 <br /> 2.UDC CONSTRUCTION IS&SA.SINGLE-WALLED ❑2.DOUBLE-WALLED 49043 <br /> IF DOUBLE WALLED: ago=baa <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 490-64b <br /> VII.PERIODIC SYSTEM TESTING <br /> ❑ I. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-66. <br /> LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. 23 CCR '2644.1 <br /> [12.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 <br /> ❑3.SPIL1.BUCKETS ARE TESTED ANNUALLY. 49047 <br /> VIII.RECORDKEEPING <br /> The following monitoring/maintenance records are kept for this facility: <br /> ❑Alarm logs 490-68a ❑Visual Inspection Records 490-68b ❑Tank integrity testing results 490-6ac <br /> ❑SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-68. <br /> ❑ATG Testing results(and supporting documentation records).490-68r ❑ Corrosion Protection 60-day logs 490-68g <br /> ❑Equipment maintenance and calibration records. 49068h <br /> IX.TRAINING <br /> ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) <br /> ❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b <br /> ❑ OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69c <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49049d <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49049. <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND <br /> STATISTICAL INVENTORY RECONCILIATION"49045W <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-698 <br /> ❑ OTHER(Specify):M69h,M69i <br /> ❑This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). <br /> The"Designated UST Operator"will train facility employees 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 /> • Operation of the UST systems in a manner consistent with the facility's best management practices <br /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan <br /> ), The facility employee's role with regard to spills and overfills m specified in the UST Response Plan <br /> ➢ Names of contact persons)for emergencies and monitoring alarms.490-70 <br /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many puges with additional information on specific monitoring procedures are attached to this plan.490-71 <br /> XI.PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible I-or ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by <br /> this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. <br /> The follow pe (s)are respo i for performing the monitoring and equipment maintenance: <br /> NAME 490-n TITLE W r 490.73 <br /> NAME 490-74 TITLE 490-75 <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 /> XIL OWNER/OPERATOR SIGNATURE <br /> CERTIF[ T►O •I certify that the'Jrifirintiation provided herein is true and accurate to the best of my knowledge. <br /> APPLICAN ION RE 49046 DATE: 490-77 <br /> ^^ '/ <br /> an /— f 7 — <br /> APPLICANTE(print): / 49048 APPLICANT TITLE: 4Wn <br /> C r l/�f_f,r h <br /> UPCF UST-D(128007)3/4 <br />