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N=UNtFIED PROGRAM CONSOLIDATED FO UNDERGROUND STORAGE TANK MONITORING PLAN- Pae 1 of 2 TYPE OF ACTION ❑1.NEW PLAN 2.CHANGE OF INFORMATION ago-1 PLAN TYPE ❑ 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2 (Check one item o ) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- L FACILITY INFORMATION FACILITY ID#(Agency a Only) I I I - I I I -1 1 1 1 1 1 1 BUSINESS NAME(Same as CILITY NAME)° 1 I W JZ- I,p a R-01 3. BUSINESS SITE ADDRESS L� L m AR-Ct'NQ 10(z- 103. CITY 104. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and 'bration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers' ctions,or annually,whichever is more frequent,and that such work must be performed by qualified personnel. 23 C R§2632,2634,2638,2641 MONITORING EQUIPMENT IS SERVICE 1.ANNUALLY El99.OTHER(Specify): -490-3b M.MONITORING LOCATIONS ❑1.NEW SITE PLOT PLAN/MAP SUBMII'TEWITH THIS PLAN. 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o-4 IV.TANK MONTTORIN IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITO G OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISU AL . (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: a.DRY b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490.6 PANEL MANUFACTURER:' - 4901. MODEL#: LS Q( 49M LEAK SENSOR MANUFACTURER: !_ 41. MODEL#(S):or)/o 14 O y y 490-10 ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO ONITOR SINGLE WALL TANK(S).(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12. MODEL#: 490-13 _ IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15 LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16 ❑ d.MONTHLY -------490.17 ❑ e.OTHER(Specify): ---------- --------------- ----- --------- ------- 490.18 PROGRAMMED TESTS: ❑ a.0.1 g.p.h. ❑ b.0.2 g.p.h. ❑ ..OTHER(Specify): 490-19 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR 646.1): 490-20 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 4990-n 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 490-23 TEST FREQUENCY: a ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER( cify): 490-25 490-26 ❑99.OTHER (Specify): 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLO G METHOD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDAR CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS:Na.DRY ❑b.LIQUID FILLED ❑c.PRESSURIZED d.UNDER VACUUM 490 29 0-90-31 PANEL MANUFACTURE 0-90.30 MODEL#: "r'L S R `Lac 1� � r� LEAK SENSOR MANUFACTURER: L �1aL Q0 490-32 MOREL#(S)_ �.3 rf(J_ O� 490-33 PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES ❑b.NO ago-30- FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMPS OWN. ❑a.YES ❑b.NO 490-35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p h.L K TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED 23 CCR 2636 490-36 MLLD MANUFACTURER(S): f4 D 490-37 MOD #(S): L -2--2-d7VV 490.38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g p.h.LEAK TlkTS (23 CCR§2636) - - 490-39 MODEL M ELLD MANUFACTURER(S) 490 10 O ---- 490-41 # ): - PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM A AL 0.1 g.p.h.� 490.42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES ❑b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ .YES ❑b.NO 490-44 4.PIPE INTEGRITY TMTING 490-45 TEST FREQUENCY a a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 49046 490-47 5.VISUAL PIPE MONITORING. 490-48 FREQUENCY JW a.DAILY ❑ b.WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49 •Allowod for monitoring of unburied ernergency generator fuel piping only per HSC§25281.5(b)(3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA]23 CCR§2636(n)(3)].. ago-so ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO TANK SYSTEM 490-51 490.52 ❑ 99.OTHER(Specify) 490-13 UPCF UST-D(12/2007)1/4