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UNIFIED PROGRAM CONSOLIDATED FORD' - UNDERGROUND STORAGE TANK MONITORING PLAN - (Pan I of 2) TYPE OF ACTION ❑ 1. NEW PLAN 2. CHANGE OF INFORMATION PLAN TYPE W1. MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490'2 (Check one item only) ❑ 2. THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S) L FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same a FACILITY NAME) '� C LL 11 3' N m3_ CITY BUSINESS SITE ADDRESS_ENT 106 0 TES H, EQUIPMG AND PREVENTIVE MAINTENANCE Testing, preventive maintenance, and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) must be perfonred at the Frequency specified by the equipment manufacturers' inshuctions, or annually, whichever is more frequent, and that such work must be perfmmed by qualified personnel. 23 CCR §2632,2634,2638,2641 MONITORING EQUIPMENT IS SERVICED ANNUALLY ❑ 99. OTHER (S (Specify): 490.3° 490.36 HI. MONITORING LOCATIONS ❑ I. NEW SITE PLOT PLANmAP SUBMITTED WITH THIS PLAN._P1q. SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR §2632, 2634 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): JR1. 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 S: DRY ❑ b. LIQUID FILLED ❑ c. PRESSURIZED ❑ d. UNDER VACUUM 49 PANEL MANUFACTURER: 490.7. MODEL #: 4904 LEAK SENSOR MANUFACTURER: 490.9 MODEL #(S): 4940 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED O MONITOR SINGLE WALL TANK(Sk (23 CCR §2643) 490-1 1 PANEL MANUFACTURER 490.11 MODEL #: 49-13 IN -TANK PROBE MANUFACTURER: 490.14 MODEL #(S): °90'15 LEAK TEST FREQUENCY: ❑ a. CONTINUOUS ❑ b. DAILY/NIGHTLY ❑ c. WEEKLY 490.16 ❑ d. MONTHLY ❑ e. OTHER (Specify): °9013 PROGRAMMED TESTS: ❑ a. 0.1 gp.h. ❑ b. 0.2 gp.h. ❑ e. OTHER (Specify): 490.13 490.19 ❑ 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 ern 5. TANK INTEGRITY TESTING (23 CCR §2643.1): 4WD TEST FREQUENCY: ❑ a ANNUALLY [I490.24 b. BIENNIALLY ❑ c. OTHER (Specify): 49 O ❑99. OTHER (Specify): 490.26 4mV V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) . CONTINUOUS MONITORING OF PIPE/ PIPING SUMP(S) AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490.71 UAL ALARMS (23 CCR §2636) SECONDARY CONTAINMENT LS: JW. DRY ❑b. LIQUID FILLED ❑c. PRESSURIZED ❑d. UNDER VACUUM 490.n PANEL MANUFACTURER: 4fl M MODEL #: 4W31 LEAK SENSOR MANUFACTURER: 390.32 MODEL S): 49033 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP (i.e., TURBINE) SHUTDOWN. jjj�a YES ❑ b. NO 4WM FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. j5jbh. YES ❑ b. NO 49033 Mk2. MECHANICAL LINE LEAK DETECTOR (MLLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 490.36 MLLD MANUFACIURER(S): 49 37 MODEL #(S): _ 4 m ❑ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS (23 CCR §2636) 490.39 ELLD MANUFACTURER(S) 090°01 MODEL S): 4903 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 FAILUREIDISCONNECfION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES ❑ b. NO 490.01 4. PIPE INTEGRITY TESTING 49043 TEST FRE UENCY a ANNUALLY b. EVERY 3 YEARS c. OTHERS i 4904649047 Ll 5. VISUAL PIPE MONITORING. 49a4s FREQUENCY ❑ a. DAILY ❑ b. WEEKLY ❑ C. MRN. MONTHLY & EACH TIME SYSTEM OPERATED- 4949 • Aa9.46 fm moa N and W 9 CA ping Wy W HSC 23281. J ❑ 6. SUCTION PIPING MEETS EXEMPTION CRITERIA (23 CCA §2636(aX3)1. 490.50 7. NO REGULATED PIPING PER HEALTH AND SAFETY CODE, DIVISION 20, CHAPTER 6.715 CONNECTED TO THE TANK SYSTEM /90.51 ❑ 99. OTHER (Specify) 9o -s2490.53 UPCF UST -D (12/2007) I/4