BILLING 2007 - 2009 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDA'T'ED FORM UNDERGROUND STORAGE TANK MONITORING PLAN—(Page 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MrLrONITORING t ateckall u n))It) ULX:'MONITORING IS PEI(FOI(h(ED USIA lG•f}IC 1'01_(..OWING MIiT1IOD(S) 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE p 4.NO D1sPrNSERS ❑ 99.0THER(Specify) LEAK MONITOR MANUI'ACTURI.R: V,T-d, 4`K.-- 490-55' MODELH: 490-56. LEAK SENSOR MANUFACTURER: �]CS y y2+f� 490.57. MODEL H(S): E"2--n Y—' e90.59. DETECTION OFA LEAK INTO'1'l1E OIX TRIGGERS AUDIBLE AND VISUAL ALARMS. X u.YES ❑ b.NO e1w•59. UDC LEAK ALARMTRIGGERS AUTOMATIC:PUMP SHUTDOWN. X a.YES ❑ b.NO ;xwa. FAILURE/DISCONNi cTiON OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC:PUMP SHUTDOWN. V n.YES ❑ b.NO 440*61. UDC MONITORING STOPS TI IE FLOW OF PRODUCT AT TIIE DISPENSER. �4 a.YES ❑ b.NO -"2 UDC CONSTRUCTION IS: 1.SINGLE WALL ❑ 2.DOUBl.r WALL 490-03. IF DOUBLE WALT.: 4904Aa UDC INTERS'T'ITIAL,SPACE IS MONITORED BY: ❑ a.LIQUID ❑ b.PRESSURE ❑ c.VACUUM A LEAK WITHIN" HH'SECONDARY CONI AINMENf OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 4911-641. VII. PERIODIC SYSTEM TESTING 1.LiLD TES"TNG:THIS FACILITY HAS BEEN NOTIFIED BY TIIE STATE WATER RESOURCES CONTROL BOARD THAT E—NUANCED 490-65.l,hAK,DE'ff C:TtQN,.{1%LD) FUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTIJS AS RGQUIRf:D.l-?ccn gx�a.il 0 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. _ d90"10. ® 3.SPILT_BUCKETS ARE TESTED ANNUALLY. VIII. RECORD KEEPING The following nloniioringinlltinten:ulca records arc kept for this facility: �— 490.68. ® a.ALARM LOGS ❑ b.VlSL1AL INSPrCTION Rf?COI(DS ❑ c."TANK INTEGRITY TESTING RESULTS ❑ d.SIR TES-PING RESULTS(dual supporting documentation records) ❑ c.TANK GAUGING RESULTS(and supporting documentation records) ❑ f.AT "TESTING RESUI;N(and supporting documentation records) ❑ K.CORROSION PRO'1117ION 00-DAY LOGS ® Il.EQUIPMENT MAIN'TE.NANCE AND CALIBRATION RECORDS _ _ onitoring IX. TRAINING ® Personnel with US"1'mreSp ollsibilities arc ftlmiliar wish all ofthc following docuinews relevant to thcirjob duties: REFERENCE DOCUMENTS MAINTAINED AT FACILI Y(Check al([liar gpplsq ®TI IIS UNDERGROUND STORAGE TANK MONITORING PIAN(Required) 490.691. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 4W-6va ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS ❑ CALIFORNIA UNDI RCiI(OONDSTORAGE•TANK LAW avn•hx. ❑ uATL'. WATT.-',R RESOURCES CONTROL BOARD (SWRCI3) PUBLICATION: -HANDBOOK FOR "TANK OWNF.RS - MANUAL AND •v0.rvr. STATISTICAL INVENTORY RECONCILIATION" ❑ SWRCB PUBLICATION:'UNDERSTANDING AU OMAT1C TANK GAUGING SYSTEMS" ❑ OTI IER(Specify): _ ®'This fl.ility has a"Designate[/f.;S'f Operalnr"who has passe[[the Calilorllia UST System Openator Exam administered by the International Code Council »on•x,. (!('C). Tile -Desipaled UST Operator'will(min facility employees in the proper operation and maintenance of the UST systems annually_and within 30 days of hire.'this ullining wilE inclndc.but is not limited to,the following: l 'v Opc;anion oi'thc IJS'I'systcnls in a m:uutc!•t•onslstcnt 147111 the Iil('III(y'S bCSI nknl.1gCInCo1 pl'aCUCeti. � i "r 'Tho l:7cility entplo}•cc's role with rcgar(!to the nulnitoring cquipnnnt as spccilicd in this LST i\•ionitoritlg Plan. ` 'e The facility employee's role willi regard to,pills and overfills a,spccilicd in die facility's UST Response Plait. r Naunt$.r')of a enact person(s)I'or emcrgcncics and monitoring alarms. _ _ X. COMMENTS/A_DDITIO_NA_L_IN_FORMATION Provide additiottal coniniculs here ill-indicate how many pages(vilh additional IlifiltaE;on oil Ypeciflc monitoring prom1ures arc attached to(his plan.—--x'10^I. _. ... ..........X.I...P.ERSONNEL RESPONSI.}3ILITI.ES. ............._............... file UST OwneriOpa;uor is rc%f ntsibic Ibr ensuring that I.)the.dailytromine UST monitoring acliviiics and mainicn:utcc of UST Irak detection equipment covered by this plan occurs:2.)all Conditions that indicate a pos-sidle release:IAC IIIVCX(Igalttl ala/3.)all monitoring i=lyds are ill- properly. 'fill:FOLLOWING Phl(SON(S)AR I(F. ' NSIBLE FOR PFRFORMING TIIE MONITORING AND EQuir,mi:NT MAINTENANCE.: NAME:: s .52>`( .. ._. +1.4, NAMfi: 41,10.72, 1'I"1'LI::— ---— — 4WF;.1. -TITLE: d nAS _-___...__----.._-___.._._.—��__=.____-•_—__...__. ,.gym:—•�_•:�__—�=-.V:�.-:.—::_•_�—=__:._=.��=--�::..___..__... The Designated UST Operator shall perform a monthly visual inspectim ol'the facilily.provide a report to the owner•/opcntor,and inform the ovncr/uperatm•of any coralitioas ilia(nett)follow-u t action. __ -- XII._OWNER/OPERATOR SIGNATURE CF,R'I'IFIC1_ 6:1"0N:_[ccrlif_v t—._t th information d herein is true:tn(1 accarate to the hest of my knowledge. 1 APPLICANT SIGNATURE ( --- DATE": - __�___ s�,•, iti>PitCSt•.:iYt\e;❑1.TyM Uwnel.O kru. 41-1 gxner ,r,mor p}.Autha,zcd Re .+enrni.a:ofO.one< 4�,•7[. APPLICANT NAME(prill?C), ."".U. APPLICANT•rfrLr: 0PCF UST-I)(12/2007)-3/4 wwwaillidocs.org