Laserfiche WebLink
UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TAW <br /> MONITORING PLAN- (Page 2 of 2 <br /> VI.UNDER DISPENSER CONTAINMENT (UDC)MONITORING (Checkall <br /> that ! <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 490.6M. <br /> ❑M 4.NO DISPENSERS [199.OTHER(S i ) 49 b. <br /> LEAK MONITOR MANUFACTURER- 49611. MODEL#; 4901% <br /> LEAK SENSOR MANUFACTURER: 490,"' MODEL#(S): 490-58. <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490'". <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49 - <br /> FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49661. <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑ b.NO 49641. <br /> UDC CONSTRUCTION IS: ❑ I.SINGLE WALL ❑ 2.DOUBLE WALL 49047. <br /> IF DOUBLE WALL: 49044` <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM <br /> A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 490-6°b' <br /> VII. PERIODIC SYSTEM TESTING <br /> I.BLD TESTING:THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 4960- <br /> LEAK DETE <br /> 9666.LEAKDETE N MUST BEPERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE U1RED.Lvcmi26"m <br /> ❑ 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490,66. <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490,67. <br /> VIII. RECORD KEEPING <br /> The following monitoring/maintenance records are kept for this facility: 490-68. <br /> N a.ALARM LOGS 9 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 /> ❑ E ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> CALHaATMNNEM ORDQ <br /> IX. TRAINING <br /> N Personnel with UST monitoring responsibilities are familiarwith all of the following documents relevant to theirjob duties: 496690,. <br /> REFERENCE DOCUML+NTS MAINTAINED AT FACILITY(Checkall that apply) <br /> N THIS UNDERGROUND STORAGE TANKMONITORING PLAN(Required) 49as9b. <br /> ®OPERATING MANUALS FOR ELECTRONIC MONITORINGEQUIPMENT(Required) 490.69. <br /> ❑ CALIFORNIAUNDERGROUND STORAGE TANK REGULATIONS 490491 <br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69°' <br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49049E <br /> STATISTICAL INVENTORY RECONCHdATION" <br /> ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 49a69B. <br /> 490490, <br /> ❑ OTHER(Specify): 490.691. <br /> This facility has a'Designated UST Operator"wbo has passed the California UST System Operator Rama administered by the International Code Cmmcil 490610. <br /> (ICC). The 'Designated UST Operator"will train facility employes in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of him.This training will include,but is not limited to,the following: <br /> ➢ Operation of the UST systems in a mamer emsistentwith the facility's best management practices. <br /> D The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. <br /> ➢ The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. <br /> ➢ Name(s)of contact persons)for emergencies and monitoring alarms. <br /> M COMMENTS/ADDPTIONAL I NFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 49x11. <br /> Audible and visual overfill alarm set at 9D%of tank capacity for overfill protection. See additional attachment. <br /> XII. PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that:1.)the daily/routine UST monitoring activities and maintenance of UST leak deletion equipment covered <br /> by this plan occurs;2. all conditions that indicate a possible release are investiptcA and 3. all monitorine records are maintained properly. <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: Dervks Bock 49672. TITLE: Pmtmmnental Compitance ManagW 49613. <br /> 490.74. TITLE: Director of Gasoline rations 490-75. <br /> NAME: Dm Hudocker � <br /> The Designated UST Operator shall perform a monthly visual inspection of the facility,provide a report to the owner/operator,and inform the owner/operator of any <br /> conditions that need follow-up action. <br /> XIII. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION:I certify that the info ad rovid d herein is true and accurate to the hest of my knowledge. <br /> APPLICANT SIGNATURE, -0. /JO�y DATE:, 49077. <br /> REPRESEMINO: I.Trac Own rte iFed' Ovmed err 3.A.nkaysdR Five ofnxma 49616. //7 , 3 <br /> APPLICANT NAME(print): 4961& APPLICANT TITLE: 490-19. <br /> David H Rogers Director of Real Estate Development <br /> UPCF UST-D(1212007)-3/4 www.uddomorg <br />