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AIL Ah <br /> ItTMMD PROGRAM CONSOLIDATED <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN - (Page 2 of 2 <br /> MONITORING awffi aft <br /> VI.UNDER DISPENSER CONTAINMENT(LDDC) dat <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) d90.54. <br /> ® 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490.546 <br /> ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 4 %. <br /> 49ass. MODEL.n:TLS 350 <br /> LEAK MONffOR MANUFACTURER:VeWer Root 4WIT MGDEL 0(S):784380 04 49°58. <br /> LEAK SENSOR MANUFACTURER:Veeder Root NO 490.59. <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDBILE AND VISUAL ALARMS. N a YES ❑ b. 4". <br /> ® a. ❑YES b.NO <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 49041. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a Y YES O b.NOS' <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER ® 49-651 <br /> UDC CONSTRUCTION IS: ® 1.SINGLE WALL ❑ 2.DOUBLE WALL 49044-6. <br /> IF DOUBLE WALL: <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a LIQUID ❑ b.PRESSURE c.VAC <br /> A LEAK WITHIN THE SECONDARY CONTAINMETIT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. 13a YES ❑ b.NO 490'64°. <br /> VII. PERIODIC SYSTEM TESTING w"51 ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD TTiAT ENHANCED <br /> LEAK DETE ON LD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE UIRED.193 cm§2644.17 490 6 <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49-6-67. <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. -- - <br /> VUL RECORD KEEPING 490-68. <br /> The following monitoring/maintenance records are kept for this facility: <br /> ® a ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ® c.TANK INTEGRITY TESTING RESULTS <br /> ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records) <br /> ❑ f.ATG TESTING RESULTS(and supporting documentation records) [Ig.CORROSION PROTECTION 60-DAY LOGS <br /> ® h.E UIPMENT MAINTENANCE AND CALIBRATION RECORDS .TRAINING <br /> Personnel with UST monitoring responsibilities are familiar withall ofthe following documents relevant to theirjob duties: <br /> 99a-69�. <br /> REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) 490-696. <br /> ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) <br /> 49069c. <br /> ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 490-69-6 <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49o�,k <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49os9f <br /> STATISTICAL INVENTORY RECONCILIATION" 490-699. <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490-696 <br /> ❑ OTHER(Specify): 490-69t <br /> This facilitybas a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code C mood 490-70. <br /> (ICC). The -Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and withiI <br /> days of hire.This training vlrll 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 /> ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br /> ➢ The facilityemployee's role with regard to spills and overfills as specified in the facility's UST Response Plan. ` $ ,Z�(L <br /> ➢ Name(s)of wntact personmr <br /> s)for emergencies and monitoring alas. <br /> R. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pagesrm <br /> with additional infoation on specific monitoring procedures are attached to this plan. 490-71. <br /> M. PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br /> by this Plan occurs;2. all conditions that indicate a possible release are investigated;and 3. all monitoring records are maintained Pwpedy <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: 4WD. <br /> NAME: 490.n. TITLE: <br /> -69-674. TITLE: 490.75. <br /> NAME: <br /> The Designated UST Operator shall perform a monthlv <br /> y is III:inspection of the facility,provide a report to the owner/operator,and"inform the owner/operator of my <br /> conditions that need follow-! action. <br /> IOI. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. 499-T/ <br /> APPLICANT SIGNATURE DATE' <br /> 7 tiz <br /> ItEFRESENnNG: I.T 2.Fedi' 3.AWhpized 've 9fOww 190.]6. 490.79. <br /> 49°"79. APPLIC TITLE: <br /> APPLICANT N ' t): <br /> UPCF UST-D(128007)-25 www.unidocs.org <br />