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Ak UNIFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN - (Page 1 01f,2) 490-1 TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-2. PLAN TYPE ❑ I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION , FACILITY ID#(Agency Use Only) - 3. BUSINESS NAME(Same as Facility Name or DBA) V(R ) 103. CITY 104. BUSINESS SITE ADDRESS D�J Z tiat eo► %ro-t- r4Y� H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and cahbmtion of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified ___._._ ._.._..Iq.._..__-__.�I--- '49a3a the w meet manufacturers msttuctions,or annual whtchevet is more frequent Such work must be ormed by tralified ersonnel (23 CCR§2632,2634,2638, by__.___e9._-p._..___.- ---'- __ '� _- -_.__.. L ANNUALLY E] 99.OTHER(Specify). 490-3b. MONITORING EQUIPMENT IS SERVICED III. MONITORING LOCATIONS 490-4 ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN IN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,26341 all IV. TANK MONITORING IS PERFORMEDU SING THE F�OLLLOWIN oMETHOD(S) En HOD(NTAENT AS)LT h appW 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTE ) a90 6. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 d.UNDER VACUUM SECONDARY CONTAINMENT IS: QR a.DRY (3b.LIQUID FILLED ❑ C.PRESSURIZED ❑ 490-8 490-7. MODEL#: TLS 3 Sd PANEL MANUFACTURER: V,QAL-c(-Q-e Roar - 490-9. 490-10• MODEL#(_-S): _....._. LEAK SENSOR MANUFACTURER: _.,....._..,.__....... __ _. .........._. _..__ 490-11. 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§2643] 490-I3. _..❑._......__.-._.._.,._ 10-12. MODEL#: PANEL MANUFACTURER: 490-14. 490-15. MODEL#(S): 490-16 IN-TANK PROBE MANUFACTURER: ❑ b,DAILY(NIGHTLY ❑ c.WEEKLY LEAK TEST FREQUENCY: ❑ a.CONTINUOUS 490-17. ❑ d MONTHLY ❑ e.OTHER(Specify): 490-18. _.c.._.OTHER PROGRAMMED TESTS_ � Secif): nv0d490-20.9._20_. .$L _ b.O _.❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 46.11. PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-22. - ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 ..._...__._._--._._..._.____......_...._..............._a9a-i3. ❑ _5.TANK INTEGRITY TESTING PER(23 CCR§2643.1) 490 z0-. b.BIENNIALLY ❑ c.OTHER(Specify):_. a ANNUALLY ❑ d4o zi; _TEST FREQUENCY! -��. �_.__. __._.__._ 490-27. ❑. 99.OTHER(Specify):- (Check all V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) that a490 20- ❑ 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE dVUN AL VCS[ 490-29. [23 CCR SECONDARY CONTAINMENT IS: Q0 a.DRY ❑ b.LIQUID FILLED ❑ c,PRESSURIZED ❑ 490-31. §26361 490-30. MODEL#: /LT -55e- PANEL MANUFACTURER: V W--WdW-Y 490.32. 490-33. MODEL#(S): Tn,.a� -Zo X 0-90-34. LEAK SENSOR MANUFACTURER: ' r 6 a r Q a.YES [Ib.NO PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. 49x35. FAiLURFJDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. R a.YES [I b.NO 490-36 ® 2 MECHANICAL LINE LEAK DETECTOR(MELD)THAT ROUTINELY PERFORMS 3A g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED.123 CCR§26361 41-37 ��p 49-38. MLLD MANUFACTURER(S): p MODEL#(S): ____.___..__ _---.__...___..-----.__...___ 490-39. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h LEAK TES ,[23 CCR§26361 490.40. 490-41. ELLD MANUFACTURER(S): MODEL#(5): PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.I g.p.h. 49042. ❑ a.YES El b.NO 490-43' ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. 49044 ELLD FAILUREIDISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. C3 a.YES ❑ b.NO _...---------- -_- --- ---'--- - 4'9045. ❑ 4.PIPE IN7 EGRPTY TESTING. 49046. TEST FREQUENCY: ❑ a.ANNUALLY F1 b.EVERY 3 YEARS El c.OTHER(Specify) 490-0-7, .-._ ❑ 5.VISUAL PIPE MONITORING. 490-0-9. a.DAILY El b.WEEKLY El c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED FREQUENCY: ❑ Allowed for monito' of unbwied enoy_.e¢erator fuel Pi�inonlyyer _......._.............._..._.._.....__._._..____�!.!!�_ 490-50. _._..... ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(a)(3)) 49-51. .._.__.__._ --__ _-...-_.__..__-..________...__..___.____...----'_-----.._.-_._.__.._.___..-_._.__...._.__.__..__..--_. .-.-.-..__._____..__.._.._.._.__.... ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM_ ❑ 99,OTHER(Specify) 490-53. UPCF UST-D(1212007)-114 www.unidocs.org