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1;.QIFIED PROGRAM CONSOLIDATED FOS UNDERGROUND STORAGE TANK MONITORING PLAN— (Page 2 of 2 VI. UNDER DISPENSER CONTAINMENT(UDC) MONITORING (Check aim, UDC MONITORING IS PERFORMED USING THE FOLLOWING METHODS) tear ) ❑ I.CONTINUOUS ELECTRONIC MONITORING X 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 49a-5M, ❑ 4.NO DISPENSERS ❑ 99.OTHER(Specify) 4yfl-Hy, LEAK MONITOR MANUFACTURER:ISWO avo-ss. MODEL p: sw-s6 LEAK SENSOR MANUFACTURER: wasT. MODEL#(S): +vasa. DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a YES X b.NO 40.19. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES X b.NO 49 4 , FAILUREIDISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES X b.NO 4vo61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. X s.YES ❑ b.NO 490'63 UDC CONSTRUCTION IS: X I.SINGLE WALL ❑ 2.DOUBLE WLL Awoes UDC INTERSTITIAL SPACE IS MONITORED BY: 490 ❑ a LIQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a YES ❑ b. NO 49oe4p VII. PERIODIC SYSTEM TESTING 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THATNHF ANCFO 49 5 MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS Ae RE UIRED.luccaliwil ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 49pa6 ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 49067 VIII. RECORD KEEPING The following monitoring/maintenance records are kept for this facility: 499-68 ® a.ALARM LOGS ❑ b.VISUAL INSPECTION RECORDS ❑ c TANK INTEGRITY TESTING RESULTS ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS and su ❑ f.ATG TESTING RESULTS(and supporting ( phoning documentation records) DCdocumentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS ® h.EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING Cg Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to dxirjob duties: 4vp.6y, REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 90�Po ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) max ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS +9o-6w ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS MANUAL AND 4wew STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 4" ❑ OTHER(Specify): 4voa9p This facility has a"Designated UST Operator'who has passed the Califomia UST System a�. ys Operator Exam administered by the International Code Council (ICC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: > Operation of the UST systems in a manner consistent with the facility's best management practices. > The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan. > The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. > Name(s)of contact persons)for emergencies and monitoring alarms. X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 490.71 TIM ova1611 avY11iM mwTaniem if a OfNJ 81 lupe Mat uplizee a fl valva 10 venl meefilla. TM valve is set x195%of MIMn a tract elpesa. XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operuor is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintcim=of UST leak detection equipment covered by this plan occurs;2.)all conditions that indicate a possible release arc investigated;and 3.)all monitoring records arc maintained Proper THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME: Guillermo Lopez 49 n TITLE:Manager 490.11 NAME: Sandy Edwards 490.74 TITLE:Environmental Compliance Admin. 496 75 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 conditions thin need follow-up action. XII. OWNER/OPERATOR SIGNATURE CERTIFICATION:1 certify that the information provided herein is true and accurate to the best of my knowledge. APPLICANT SIGNATURE DATE: 49an. 4/28/2011 i REPRESEm1Nn X l TW Owie 2 Fttil Owiv/ a J ArapdizW R iM of Oxnc 490.76 UPCFUST-D(12R007)-4/8 wwtr.uaidou.org