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UNIFIED PROGRAM CONSOLIDATED FORM VW f UNDERGROUND STORAGE TANK MONITORING PLAN-(Pay loft) l9a1 TYPE OF ACTION ❑1.NEW PLAN CK 2.CHANGE OF INFORMATION 9o-± PLAN TYPE ❑ I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Check one item only) H 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(Sk 1. FACILITY INFORMATION FACILITY ID 0(.49.y Use Oaly) - 1 BUSINESS NAME(Same as FACILITY NAME) E BusINFss SITE ADDRESS L(C O �es..ir. IID. CITY D.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g..senors,Probes.line leek detectors,ercJ mus[!w perfottned at the frequency specified by the equipment manufectmers'instructions,or annually,whichever is mare BequenS and that such work must be performed by qualified personnel. 23 CCA§2632,2634,2638,2641) J90.3. MONITORING EQUIPMENT IS SERVICED IN LANNUALLY ❑ 99.OTHER(Spmfy): +90.1L III.MONITORING LOCATIONS ❑L NEW SITE PLOT PLANMAAP SUBMITTED WITH THIS PLAN. bg 2.SITE PLOT PLAMMAP PREVIOUSLY SUBMITTED. (23 CCR§ZW, 2634 N.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S)-. I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNUTAR(INTERSTfI'411.I SPACE(S)OR SECONDARY CONTAPMIJ4T + 3 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: 10 a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d UNDER VACUUM 190.6 PANEL MANUFACTURER: !90.9' MODEL 0: TL. a 49 LEAK SENSOR MANUFACTURER: V MODEL 0(S): N O . S( +sora Ll 2.AUTOMATIC TANK GAUGING(ATG)SYST'E0I USED TO MONFI'OR N F.µ'A13 T N ( 123 CCR§264.3) !9111 PANEL MANUFACTURER 49a12 MODELk: +sac 1N-TANK PROBE MANUFACTURER amu. MODELNIS): els_ LEAK TEST FREQUENCY: ❑ a CONTINUOUS [I b.DAII.Y/NIGKMY [3 c.WEEKLY - Maid ❑ d.MONTHLY ❑ e.OTHER(Specify): l 17 PROGRAMMED TESTS: ❑ aO.I g.p.h. ❑ b,0.2 gFh. ❑ c.OTHER(Specify): !90.+go16re ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2616.1) +awa ❑ 4.WEEKLY MANUAL TANK GAUGING(MTC)(23 CCR§2615)6 TESTING PERIOD: ❑ t 36 HOUIRS ❑ b.60 HOURS 4i 21 5.TAM(INTEGRITYTESTING(23 CCR§260.3.1): !90.33 TEST FREQUENCY: ❑ a ANNUALLY ❑ b.B04NIALLY ❑ c.OTHER(Specify): a9au 9au 26 ❑99.OTHER(Specify): ++9a2 7 3 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METROD(S)(Check a0 that apply) CR 1.CONTINUOUS MONITORING OF PEPE/PIPING SUMINS)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND +9x28 VISUAL ALARMS. (23CCR§2636) SECONDARY CONTAINMENT IS:jigs DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED ❑d UNDER VACUUM 890.±9 PANEL MANUFACTURER: s3aw I MODEL#: -3 'O <9oD LEAK SENSOR MANUFACTURER: J90.2 �nwn¢ s)_---�-q-�i PIPING LEAKALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ®b.NO 690.3+ FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ®b.NO +9an 2.MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 30 gp.h.LEAKTESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED CCR MLLD MANUFACTURER(S): 490.37 MODEL T(S): !90.39 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 gp.h.LEAK TESTS(23 CCR§2636) !9039 ELLDMANUFACNRER(S) ann-ur I MODE_L_ff(S):__ J3n-+1 PROGRAMMED IN LIKE LEAK TEST: ❑ I.MINIMUM MONTHLY 0 2 g.p k ❑ 2.MINIMUM ANNUAL 01 g.p.h- 1y6'12 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a YES ❑It.NO +9a43 ELLD FAMURFIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑n.YES ❑b.NO ! 4 4.PIPE INTEGRITY TESTING lw�ns TEST FRE UENCY Q a ANNUALLY Q b.EVERY 3 YEARS 0 c.OTHERS +9e-csawta> 5.VISUAL PIPE MONITORING. +a*+s FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑c.MIN.MONDR,Ya:FACHTIKESYSMMOPERATEIN •Aa9v.irarami. dse arfW - advW HSC 231.5fa l ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2676(6)(3)). a9a59 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6715 CONNECTED TO THE TANK SYSTEM 9ast +90.sS ® 99.OTHER(Specify) f. aj&a49o53 UPCF UST-D(12/2007)1/4