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f UD PROGRAM CONSOLIDATED FOIN UNDERGROUND STORAGE TANK MONITORING PLAN-(Paste 1 of 2 �,/� TYPE OF ACTION ❑ 1.NEW PLAN ❑ 2.CHANGE OF INFORMATION 9'l. A+j N U 490.1. PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): I. FACILITY INFORMATION FAQILITY ID#(A>;encv Use Only) _ 0FT 1. BUSINESS NAME(Same as Facility Name or DBA) �t 3. / q.-I STQE -T /kt cp Awl P M - IL 3S E NTEJ-P(,LSF- LLc- BUSINESS SITE ADDRESS 103. 1 C[Ty 104. 1\00 S• NAlr,3 STLEET M Atilt CA , C q 33} II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the guipment manufacturers'instructions,or annually,whichever is more cent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,26.3.8,26411 MONITORING E UIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHERS i 490-3a. Q ( P��)� 490.36. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED (23 CCR§2632,2634] 490-4 IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) " eck that Ill 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,2634] SECONDARY CONTAINMENT IS: J a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490.6. PANEL MANUFACTURER: I M E r*C-0 - R U D'T 490.7' MODEL#: Z L S _'�S n 490.8. LEAK SENSOR MANUFACTURER: V EE DfQ-^9100-T 490-9. MODEL#(S): 'j q lei 3 q n-4 t'1 q 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(Sl.[23 CCR§26431 490-11. PANEL MANUFACTURER: _ 490.12' MODEL#: _ 490-13' IN-TANK PROBE MANUFACTURER: 490-14' MODEL#(S): 490-15. LEAK TEST FREQUENCY: 9a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 49x17' PROGRAMMED TESTS: _❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS i 0-9118. g•P• g•P• _ (Specify): _ago-19. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.1] 490.20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS -490.21. 490.22._ ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490.23' FREQUENCY: ❑ a.ANNUALLY b.BIENNIALLY ❑ c.OTHERS 490.24' TEST - - -- --- - ❑ (Specify): ago 20_- ❑ 99.OTHER(Specify): V%wAL MOW IToR It�1�L- 49207. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) t( heckall 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-2s. f23 SECONDARY CONTAINMENT IS: C.a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490.29. PANEL MANUFACTURER: VE�epe(--f,a 0T 49130. MODEL#: TL< -3. S'O 490.31. LEAK SENSOR MANUFACTURER: V'ElE DEP-- 0--ft-T 490.32' MODEL#(S): �q 3 o-3 3 490.33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. a.YES [Ib.NO 490.34. FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑ b.NO 490.35, 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF 490.36. PRODUCT FLOW WHEN A LEAK IS DETEC D.[23 CCR§26361 MLLD MANUFACTURER(S): PL-To-,p 49x37' MODEL#(S): 4V(Lb2.0p0kXQ ML p49138' ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TESTS.[23 CCR§2636] 490.39. ELLD MANUFACTURER(S): 490.40' MODEL#(S): 490-41' PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 49042. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 49043 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑ b.NO 490.44. ❑ 4.PIPE INTEGRITY TESTING. -- - -- 490-45. TEST FREQUENCY: ❑ a.ANNUALLY b.EVERY 3 YEARS c.OTHERS i 490-46. -Q ❑ ❑ (Specify) _0-9°•0-7• ❑ 5.VISUAL PIPE MONITORING. 490-48. FREQUENCY: a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490.49. •Allowed fa monitoring of unbwied em«smeYBmmatwAy!l�i�nB only HSc§25281.5(6x3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.(23 CCR§2636(.x3)) 490-50' ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. ❑ 99.OTHER S i 490 s2. 49153. UPCF UST-D(12/2007)-1/4 www.unidocs.org