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UNIFIED PROGRAM CONSOLWA UNDERGROUND STORAGE T RECEIVE ECEI\b E MONITORING PLAN- e 1 of 2) TYPE OF ACTION ❑ 1.NEW PLAN Z CHANGE OF INFORMATION r 490.1. PLAN TYPE 1.MONITORiNGIS IDENTICAL FOR ALL USTS AT THIS FACILITY. 490.2 (Meckoae Taananty) ❑ 2-THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S), I. FACILITY INFORMA'T'ION PPRMIT/SERVICES FACILITY TO a(Agency Use Only) t BUSINESS NAME(Same as Facility)Vmne o DBA) - 3- BUSINESS SITE ADDRESS IID. CITY IN- a E . I L EQUIPMENT TESTING AND PREVENTIVE-MAINTENANCE TMtB&pmvcutwc itlamtcmocr,and ca6WaWn of muni ormg WuWu[(c.&scums,pFobm I-c Icak dammols,ea.)must be performed at the fiegneney speci6cd by the equTaima nwmu&mmem'mftucdons,mannwilly,whichever a mote Such work must bcpmforrmd by gtotfied pasprod.racmtL2M,2w,2wkm4ji__ MONITORING EQUIPMENT IS SERVICED CR I.ANNUALLY ❑ 99.OTHER(Specify), 4W3. III, MONITORING LOCATIONS ❑ I.NEW SITE PLOT PLAN/MAP SUBMITTED WITIT TENS PLAN R2srrEPLoTpLAvmAPpxEvEousLYSUBMrrTm [23a 10022 2 ] d904, IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) "' 6jII 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(IN7 MTnIAL)SPACES)OR SECONDARY CONTAINMENT VAULT(S) 4-- WITH AUDIBLE AND VISUAL ALARMS I23 me§2M 2s341 SECONDARY CONTAINMENT IS: � a DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 49ab. PANEL MANUFACTURER: V It!D4 4W7- MODEL#: 'TLS•3 S O 49"LEAK SENSOR MANUFACTURER: �eaa'� d9o-9- MODEL#(S), 990-10' ❑ 2 AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).(23 Cat§zH3T 69611. PANEL MANUFACTURER: 490.11 MODEL a: 49013. IN-TANK PROBE MANUFACTURER: 490-10' MODEL#(SJ. LEAK o-ls- LFAK TEST FREQUENCY: ❑ a CON INUOUS ❑ b.DAILYMIGHTLY ❑ n WEEKLY 490-16. ❑ d-MONTHLY ❑ c-OTHER(Specify): 490.1. PROGRAMMEDTESTS: ❑ 60.1 h ❑ b.02&P.h ❑ c.OTHER(S fy), asu90.1� ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION P Cat§ns9 m 496-9s. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)t23 Car iw5i TESTING PERIOD- ❑ a 36 HOURS ❑'b-60 HOURS4W21- 490- ❑ 5-TANK INTEGRITY TESTING PF.R Tea cea 5),663.11 996+2' TEST FREQUENCY: ❑ a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTTER(Spemfyy 49MSza. 490.26. 99.07HER(Specify): 6961. V PIT'E MONITO GIS-PERFORME USING THE FOLLOWING METHOD(S) w cck aJr ® 1.CONTINUOUS MONITORING OF PIPWPIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. §, SECONDARY CONTAINMENT IS: Ja a DRY ❑ b.LIQUID FILLED ❑ c PRESSURIZED ❑ d.UNDER VACUUM 490.29. PANEL MANUFACTURER: y QQ req a ABET 99°'10. MODEL#: T l�j .ASO 6 31. LEAK SENSOR MANUFACTURER-- V V tMq A REO? 99632' MODEL#(SYk j O 49 - PIPING LF AK ALARM TRIGGERS AUTOMATIC PUMP(ie..,TURBINE)SHUTDOWN. ❑ a YES 13b.NO 49o->4. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO 312.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUPNELY PERFORMS 3-0&ph LEAK TIESS AND RESTRICTS OR SHUTS OFF 4 M PRODUCT FLOW WHEN A LEAK IS DETECTED.p3 eckpo6) !flus Ata 2110) V t111-9 f LD 74tl4 O MLLD MANUFACTURER(Sr 490- MODEL a(S} ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3-0 S.p.h LEAK TESTS-Im C §2mj 4vo-39. ELLD MANUFACTURERS): 490'9D- MODEL#(S), 490-41. PROGRAMMED IN LINE LEAK TEST: ❑ a MINIMUM MONTHLY 02 g.p.h. ❑ b.MINIMUM ANNUAL 0.1&p.b. 49642 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b.NO ELLD FAI.URFJDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN- ❑ a YES ❑ b-NO 49044. ❑ 4.PIPE INTEGRITY TESTING. 49 l TEST FREQUENCY: ❑ &ANNUALLY 12 b.EVERY 3 YEARS ❑ cOTHER(S ) 4944 Cl 5.VISUAL PIPE MONITORING- 490-46. FREQUENCY: ❑ &DAILY ❑ b.WEEKLY c.MIL MOIT(FB.Y BEACH TIME SYSTEM OPERATED, 49049. 'Amaed Far aF®I.aiN em fa! odrpv FISC¢52615@%3) ❑ 6-SUCTION PIPING MEETS E)W.IPTION CRITERIA.In cm§mW.7PN +9aso. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 4W51- 99-OTHER(specify) 9651.99-OTHER(specify) a90-sz 490.53. UPCF UST-D(1712007)-1/4 vmw.anidcaorg .