BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VL UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49 490-54a 0-Sdb a 1.CONTINUOUS ELECTRONIC MONITORING ❑2.FLOAT AND CHAIN ASSEMBLY ❑ 3-ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99.OTHER(S i ): PANEL MANUFACTURER: P #: L✓ +35 d 490.56. LEAK SENSOR MANUFACTURER: D ( 490-57 I MODEL#(S):©-79Lj,3g4 —7�08 490-111 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS J5 a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN it a.YES ❑b.NO 490.60 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a.YES ❑b.NO 490.61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. QL&YES ❑b.NO 490-62 2.UDC CONSTRUCTION IS A].SINGLE-WALLED ❑2.DOUBLE-WALLED 490-63 IF DOUBLE WALLED: 490-64a UDC INTERSTITIAL SPACE IS MONITORED BY: 0 1.LIQUID El 2.PRESSURE 0 3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 490-64b VII.PERIODIC SYSTEM TESTING ❑ 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. LEAK DETECTION(ELD)MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR§2644.1 &2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 ----------------------- 3.SPILL BUCKETS ARE TESTED ANNUALLY. 490-67 VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility: Alarm logs 490.69a Cff�Visual Inspection Records 490-68b j2r'fank integrity testing results 490-69c m R testing results(and supporting documentation records). 490-68d F1'Tank gauging results(and supporting documentation records). 490-68e TG Testing results(and supporting documentation records).490-Uf ❑ Corrosion Protection 60-day logs 490-6911 uipment maintenance and calibration records. 490.686 DL TRAINING Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job dudes. 490.69. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Oil-THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490.690 CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d {� CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-6% ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490.69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-698 ❑ OTHER(Specify):M69h,m69i ❑This facility has a"Designated UST Operator"who has passed the California UST System 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: Ld j-.3 'C C. a�Q r 1 IKchllib6`4 ➢ 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 UST Response Plan D Names of contact person(s)for emergencies and monitoring alarms.49o-7o X. COMMENTS/ADDITIONAL INFORMATION Provide additional comments ere or indicate how many pages with additional information on specific monitoring procedures are attac ed tot s plan.490-71 y, �t'Ea�(C*1 tAn t"krs-r3e:i0 >,k- c 1j V 1 'L �-1� �4w:.vn 1 G) /^9 4` 1 } tl=-� 2 I,tv1lC+4+��3r /ju �t�l2 CORA, A 'yvr✓�� tj'7� 0te_%e tiv rw. bb d. I 1 i XL'PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that:1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The follgVng person(s)are responsible for performing the monitoring and equipment * mei ten ce: NAME p � 490-72 TITLE ' — 1C_f 5 - Cl S� 490-73 NAME 490.74 TITLE 490-75 The Designated 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 that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CER IFICATION:I certify that the information provided herein is true and accurate to the best of my knowledge. AFL ANT SIGNA 490-76 DATE: 490-77 N L / rO2.Facility / r0- r ❑ th m b w r � AP CANT NAME(print): APPLICANT TITLE: 490-79��) p� 490.79 UPCF I:ST-D(12/2007)3/4