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UNIFIED PROGRAM CONSOLIDATED FORN.- UNDERGROUND STORAGE TANK MONITORING PLAN-(Pae 1 of 2) TYPE OF ACTION ❑1.NEW PLAN 0 2.CHANGE OF INFORMATION 490'1 PLAN TYPE B'( MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490.2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(.: I. FACELITY INFORMATION FACILITY ID#(Agency Use Only) I1 BUSINESS NAME(Same as FACILITY NAME) 3. Glm'��i; BUSINESS SITE ADDRESS 3 103' CITY Ktu, 104 H.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 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 SERVICED I.ANNUALLY ❑ 99.OTHER(Specify): 490-3a 490-3b III.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLANINI"SUBMITTED WITH THIS PLAN. B-2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)a9o4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S); �a 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: 0-1i DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-6 PANEL MANUFACTURER: �Cc_f°e 490-7. MODEL#: _F ri C- 490-8 LEAK SENSOR MANUFACTURER: C) 490.9. MODEL#(S): 20 49410 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYS-FF"Irccn •IONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12 MODEL#: 490'13 IN-TANK PROBE MANUFACTURER: 490.14. MODEL#(S): z 49°'15 LEAK TEST FREQUENCY: ❑ a.CON t INUOUS ❑ b.DAILY/NIGHTLY U c.WEEKLY 490.16 2-d.MONTHLY ❑ e.OTHER(Specify): 490"17 0-18 PROGRAMMED TESTS: ❑ a.0.1 h. b.0.2 h. c.OTHERS i °9049 g.p.h. ❑ g.p.h- ❑ (Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21 x90.22 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-24 490-25 ❑ 99.OTHER (Specify): 490'26 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)(Check all that apply) [Y L CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-5- VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a DRY ❑b.LIQUID FILLED [1c.PRESSURIZED ❑d.UNDER VACUUM 490-29 PANEL MANUFACTURER 67 Z ft i0 C�;(' 490 30 MODEL#: -M C- 490-31 LEAK SENSOR MANUFACTURER: f 0. C U 4132 MODEL#(S): OOCOOO 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. [Cy5.YES ❑b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. 9<YES ❑b.NO 490-35 [a-2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAKdS DETECTED 23 CCR 26 490.36 MLLD MANUFACTURER(S)://' ] (tet -�<vj C DSS ' LIQ.:Z,"Mo 37 MODEL#(S):S j a2C 50.C kr4- ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.b.LEAK TESTS (23 CCR§2636) 490J9 ELLD MANUFACTURER(S) 490-40' MOI)EL#(S): 49041 PROGRAMMED IN LINE LEAK TEST: 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 49042 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49043 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 49044 ❑ 4.PIPE INTEGRITY TESTING 49045\, .r TEST FREQUENCY ❑ a.ANNUALLY �y b.EVERY 3 YEARS c.OTHERS i 49046490.47 ❑ 5.VISUAL PIPE MONITORING. 49048 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑a MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490,49 'Allowed for m rmtori of tmburied mergmcy generwor fuel piping only HSC§75281.5(b)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA(23 CCR§2636(x)(3)]. 490-50 ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 ❑ 99.OTHER(Specify) 490-52 490.53 UPCF UST-D(12/2007)1/4