BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a 490-54b ❑ 1.CONTINUOUS ELECTRONIC MONITORING 1�2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS [:]99.OTHER(Specify): ----- -- ------------------- ----- ---------------------------- a90-ss 490-56. PANEL MANUFACTURER: LEAK SENSOR MANUFACTURER: at 490.57 1 MODEL#(S): — — 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES .NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN g a.YES ❑b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES 0b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES b b.NO 490.62 2.UDC CONSTRUCTION IS SINGLE-WALLED [12.DOUBLE-WALLED 490.63 IF DOUBLE WALLED: 490-baa —_—UDC INTERSTITIAL SPACE IS MONITORED BY: ❑1.LIQUID [l 2.PRESSURE ❑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 DETECTIONE( LD)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 VHI.RECORDKEEPING Toe following monitoring/maintenance records are kept for this facility: Alarm logs 490-68a ❑Visual Inspection Records 490-6sb ❑Tank integrity testing results 490-68c SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-68e ❑ATG Testing results(and supporting documentation records).490-68f ❑ Corrosion Protection 60-day logs 490.68g Equipment maintenance and calibration records. 490-68h IX.TRAINING EVPersonnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a REFERENCE DOCUMENTS MAINTAINED AT FACILITY,'(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490.69c CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e ❑ 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"490-69g ❑ 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). T e"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 UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.49o-70 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 ov-cj C-VG" ✓-- O 12 XI.PYRSONNEL RESPONSIBILIT S 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 followin person(s)are responsible for pelforming4'e monitoring and equipment maintenance NAME �V C.0 490-72 TITLE en L, A G.1/ 490-73 NAME 490.74 TITLE 490.75 The Designated Operator sh@Fperform 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 CERTIFICATION: I certify that the information provided herein is and accurate to the best of my knowledge. APPLICANT SI TU 490-76 DATE: 490-77 I Lb I c) REPRESENTING 1.Tank OwnerfODC lar 0 eralor Authonied Re nese atixz 1 Oer APPLICANT NAME(print): 490 78 APPLICANT TITLE: 490-79 '► G UPCF UST-D(12/2007)3/4