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UNIFIER PROGRAM CONSOLIDATED FORM
<br /> UNDERGROUNDSTORAGT'fANK
<br /> ONITORTNGPLAN- Pa tof2 490-1
<br /> TYPE OF ACTION ❑I, EW PLAN 2.CHANGE OF INFORMATION 490.2
<br /> PLAN TYPE 1.MONTIORIVG 13 tDEN'IICAL.PORAL1. WINATTFISFACILITY.
<br /> Check one item onl ❑ 2.THIS PLAN COVERS ONLY 1[ FAO'LCAC+USYU�SMA'I"�ON
<br /> FACILITY ID9(Agcney U4c Only) - m - 0.
<br /> BUSINESS NAME(Same as FACILITY NAME) � � 4 10I. C yr 104.
<br /> BUSINESS SITE ADDRESS. / G y .
<br /> NT TESTING AND pREVENTIVE MAINTENANCE
<br /> EQUIPrilE tmc look detectors,am.)must be perfmined at the frequency
<br /> Tcainp,provamive maimmnanec,and calibration of monitoring equipment(c.g.,sensors,probes, nel,
<br /> specified by the equipment manurwhlrers'instructions,m annually,whichever is mane"uont,and that suc11 walk must he perfomrcd by qualified pef9an 4904.
<br /> L�3�CC-R661 �2267t2MIL-_
<br /> ,
<br /> 490411- iANNUALLY [399,OTHCR S ccy
<br /> MONITORING EQUIPMENT IS SERVICED
<br /> LOCATIONS
<br /> IiI.MONII O.
<br /> 1.
<br /> P PREVIOUSLY SUBMITTED. (23 CCR§2632,
<br /> NEW SITE PLOT PLAIN/MAP SUBMITTED WITH THIS PLAN. SITR PLOT pLAN/MA
<br /> 2634 190.4
<br /> IV.TAMC MONITORING L5 PERFORMED USING TRE FOLIO LYING METIIOD(S): n
<br /> V AULT(S) H AUDIBLE AND VISUAL AL (23 CCR§2632,2634) ^MOI7E1.PE(:ONDARv CONTAINMENT
<br /> UNDER VACUUM 4mH6
<br /> SECONDARY CONNTT INMENYIKMONCP DR C© b.LA QUID PILLED ❑ C FRES UR17PD)❑d^ „-. ERVACU ..__._,...._-
<br /> I.CONTINUOUS.
<br /> _
<br /> ---PANEL MANUPACIU.RER:
<br /> _ DEI.A(S):LEAK SENSOR MANUFACTURER - XI �23 CCR§2643) - 494-11
<br /> 2,AUTOMATIC TANK GAUGING(ATC)SYSTEM ILSED TO MONITOR E 490.12. 9010-19
<br /> PANEL MANUFAMRER: MODEL,g;
<br /> IN-TANK PROBE MANUFACTURER; MUhRL X(�L...,._---...,..-.---
<br /> _ ..----_..---'--- - 490-14
<br /> .-_-.LEAK TEST FREQUENCY: ❑ e.CONTINUOUS _._--.-.._. ❑ IS.DAILYMIGHTLY ❑ c.WEEKLY
<br /> 490.17
<br /> ❑ c.OTHER(9pa.=�'L - --.•_---.......
<br /> __ ❑ d,MONTHLY - ---�..... 490.1s
<br /> ;RAMMED TESTS: ❑ a.0.1 gp.h, ❑ b.0,2 p.h. ❑ c,OTTER(Spceify);
<br /> LSRO49o-w
<br /> 49b20
<br /> ❑ 3.MONTHLY STATISTWAL INVENTORY RECONCILLATRON(23 CCR§26A6.I)1 n9n-zl
<br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2644 TESTING PERIOD: ❑ s.36 HOURS ❑ h.60 HOURS a9w0m
<br /> 5.TANK INTEGRITY TESTING(23 CCR§21WI.1)t 490-9A
<br /> TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIAI.1-Y L) c.OTHER(SPaaifY): 49n-ZS
<br /> 490-25
<br /> 49027
<br /> []
<br /> 99,OTHER (Specify):
<br /> V.PIPE MONITORING IS PERFORMED USING TFIE FOLLOWING METHOD(S)(Check all thatapply)
<br /> 90.24
<br /> .CONTLNUOU5 MONTFORING OF PIPE/PIPING SOMP(S)AND OTHER SECONDARY CONTAINMENT W1R AUILBSLE AND
<br /> VISUALALARMS. (23CCR§2636) 490.29
<br /> SECONDARY CONTAINMENT IS: I�*D�RY ❑b_LIQUIDFll,LED Qc-PRE9SURIZED�❑d.UNDBR VACUl1M - ,,,,--_ W 1
<br /> _�- lJ��,(>_ ~^+vo':/ MODEL 4: _T7_11 �Sr_O
<br /> PANEL MANUFACTURER; -----...-.- 49043
<br /> LEAK SCNSOR.MANl1FAC_T_URF.R: _ LIE/� y _MODEI,N _-- ���("®� Va-14
<br /> _ C--._-......- __-____.. - a,YES ❑b.NO
<br /> --- PIPING LEAK ALARM TRIGGERS AUTOMATIC pUMP(i.c.,TURBINE)SFIIJT DOWN. ❑ .,9013S
<br /> FALLURE/D[SCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a,YES ❑b.NO
<br /> 2.MECHANICAL LIVE LEAK DETECTOR(04LLD)THAT ROUTINELY PERFORMS 30 F,p.b.LEAK TEATS AND RESTRICTS OR SHUTS OFF 4
<br /> PRODUCT R,Qw WREN A LEAK IS DET_E_CTED(23 CCg.§28302_-_,... -----_.............------- .-...-....----------
<br /> _ 4904.9L49o-sx
<br /> MILD MANUFACTURER 5:
<br /> []_3.ELECTRONIC LINE LEAK DET•E-;CtTTOOR(-ELLD)THAT ROUTINEIv PERFORMS 3,0p h.LEAK TESTS (2y3-CCR§22663366)''' 490-39
<br /> 490A81.LD MANUFAGTURRiR S S ,,,,, des, .1�C�t.MODL•L,fF�9t V I„7.-` -.499042
<br /> PROGRAMMED IN LINE LEAK"FEST: ❑ 1.MINIMUM MONTHLY 0,2 g.ph, ❑ 2.MINIMUM ANNUAL 0.1 g.p.h, 4r
<br /> ELLD DETECTION OF A PIPING LP,AK TRIGGERS AUTOMATIC PUMP SHUTDOWN. [j fl.YES. F_1 b.NO
<br /> ELLD FAILURE/DISCONNECTION TRIGGERS.AUTOMATIC PUMP SFITTDOWN. ❑a.YES ❑b.NO
<br /> -CF4,PIPE INTEGRITYTESTING wurs4904649047
<br /> TT?ST EN
<br /> FRE UCY a.ANNUALLY CI b.EVERY 3 YEARS c.OT1dEa S i AWAR.
<br /> 5.VISUAL PIPE MONITORLNG. 49049
<br /> FREQUENCY C] a,DAILY ❑ b.WEEKLY )3 a.MIN.MONTHLY Q I'ACH TIME SYSTEM OPERATED'
<br /> •Allnvred hr mOelMdO 0i'nhoricd mu fwl 1 mly 52R1.: 1 490.f0
<br /> ❑ b.SUCTION 1rIPING MEETS EXFMVFION CRITERFA 123 CCR§2638(0)(3)).
<br /> 7.NO REGULATED PIPING PER HEALTH AND SAFETY f.ODE,DLV19IpN 20,CHAFFER C-7 IS CONNECTED TO THF,TANK SYSTEM
<br /> 490-.1 490-92
<br /> ❑ 99.0THER(Specify)
<br /> UpCF UST•D(12/1007)1/4
<br />
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