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V IED PROGRAM CONSOLIDATED FORS <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN — (Page 2 of 2 <br /> VI. UNDER DISPENSER CONTAINMENT(UDQ MONITORING (Check dl <br /> hat <br /> UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) <br /> ❑ 1.CONTINUOUS ELECTRONIC MONITORING X 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4°0's4i <br /> ❑ 4.NO DISPENSERS ❑ 99 OTHERS <br /> ( pacify) 4so-s4b <br /> LEAK MONITOR MANUFACTURER: 490'35 MODEL p: 49as6 <br /> LEAK SENSOR MANUFACTURER: 496.37. MODEL NIS): 49o-5e <br /> DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES X b.NO 4-59 <br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN, a YES X K NO 49 <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a YES X b.NO 090'61 <br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. X a YES ❑ b.NO 49 2 <br /> UDC CONSTRUCTION IS: X ].SINGLE WALL ❑ 2.DOUBLE WALL 49u.61 <br /> IF DOB WA ; <br /> UDC INTERSTITIAL SPACE IS MONITORED BY: 4� <br /> ❑ 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 49n{Nb. <br /> VII. PERIODIC SYSTEM TESTING <br /> 1.ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT F.N AN D 49oe5 <br /> MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS RE UIRED. v Crn liu 1 <br /> ® 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 4wm <br /> ® 3.SPILL BUCKETS ARE TESTED ANNUALLY. 49at] <br /> VIII. RECORD KEEPING <br /> I The following monitoring/maintenance records are kept for this facility: 4" <br /> ® a.ALARM LOGS ❑ 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 /> ❑ f ATG TESTING RESULTS(and supporting documentation records) ❑ g.CORROSION PROTECTION 60-DAY LOGS <br /> rREFERENCE <br /> UIPMENT MAINTENANCE AND CALIBRATION RECORDS <br /> IX. TRAINING <br /> onnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirjob duties: 4s"% <br /> DOCUMENTS MAINTAINED AT FACILITY(Checkall that apply) <br /> S UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 49 % <br /> RATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 49ad9cIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 49 % <br /> IFORNIA UNDERGROUND STORAGE TANK LAW 4904% <br /> TE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND 49o.wf <br /> STATISTICAL INVENTORY RECONCILIATION" <br /> ❑ SWRCB PUBLICATION."UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 49 9, <br /> ❑ OTHER(Specify): 496+;96. <br /> 4911691 <br /> This facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the Intemstional Code Council 49 70 <br /> HCC). The "Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 <br /> days of hire.This training will include,but is not limited to,the following: <br /> • Operation of the UST systems in a manner consistent with 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 rule 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 /> X. COMMENTS/ADDITIONAL INFORMATION <br /> Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan. 46 71 <br /> TM ov 1 Vevanaan meCllMlxn is a 0P 61&W tube"utiXZe9 a vane to veM 9ver n TM ns <br /> vait W at 0%0,Cspiicty~it a 3 cioswl <br /> XI. PERSONNEL RESPONSIBILITIES <br /> The UST Owner/Operator is responsible for ensuring that: 1.)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered <br /> t this plan ouurs;2. all conditions that indicate a possible release are investigated'and 3.)all monitoring records ere maintained properly. <br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: <br /> NAME: Guillermo Lopez 490-12 TITLE:Manager 411 <br /> NAME: Sand Edwards g90.14 TITLE:Environmental Compliance Admin. 490.15 <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 /> XII. OWNER/OPERATOR SIGNATURE <br /> CERTIFICATION: 1 certify that the information provided herein is true and accurate to the best of my knowledge. <br /> APPLICANT SIGNATURE DATE: 49 <br /> 1Z/1HD <br /> I ItEPPESENRNG x I TmY Ow1u rot E F4M Own. or ) AulaonudR reurumvc 9fOrmr 490-]b <br /> 1JPCF UST-D(12/2007)-4/8 www.uoidocaorg <br />