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APR-16-2010 07: 15P FR0f'1: TO: 120946EC433 P.2 r UNIFIED PROGRAM CONSOLIDATED FORM IINDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING - 490.54a 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54b ❑ I CONTINUOUS ELECTRONIC MONITORING JX2.FLOAT AND CHAIN ASSEMBLY ❑ 3 ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS ❑99 OTHER(Specify): PANEL MAN UFACFURER 490 ss MODEL#: 490-56. --- — -- ----- -- 490-s7 d 490-sa LEAK SENSOR MANUFACTURER: MODEL (S) DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ o.YES 91b NO 490.69 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a, YES 95 b.NO 490.60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES gf b.NO 490.61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER a YES ❑b.NO 490.62 49063 2.UDC CONSTRUCTION IS 1$1.SINGLE-WALLED ❑2.DOUBLE"-WALLED 490-64a IF DOUBLE WALLED: UDC INTERSTITIAL SPACE IS MONITORED BY:_LIQUID ❑2 PRESSURE ❑3 VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 190-64b VII.PERIODIC SYSTEM TESTING ❑ 1. ELD TESTING. THIS FACILITY HAS BEEN NOTIFIED BY THE STATF WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65 LEAK DETECTION(ELD)MUST BE PERFORMED PERIODIC ELD IS PERFORMED EVERY-36 MONTHS AS REQUIRED 23 CCR 82644- ---- — —_ - 490-66 2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED_EVERY 36 MONTHS_ 3.SPILL BUCKETS ARE TESTED ANNUALLti'. 490.67 VIII.RECORDKEEPING The following monitoring/maintenance records are kept for this facility Alarm logs 490.68& Visual Inspection Records 490-68b ❑Tank integrity testing results 490-68c SIR testing results(and supporting documentation records). 490-6ed ❑ Tank gauging results(and supporting documentation records). 490-680 ❑ATG Testing results(and supporting documentation records) 490.68f ❑ Corrosion Protection 60-day logs 490-688 Equipment maintenance and calibration records. 490.68h IX.TRAINING 79 Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to theirlob duties. 490.69. REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-696 OPFRATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490a9c CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69& ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-69r ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-696 ❑ 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). The"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.490-70 X. COMM ENTS/ADDITIONA.L INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan 490.71 S XI.PERSONNEL RESPONSIBILITIES 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 following person( are res onsible for performing the monitoring and equipment maintenance 490-71 NAME ACr)G� 490.72 TITLE 490-7s NAME 490-74 TITLE The Designated Operator shall perform 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 informa'on provided herein is true and accurate to the best of my knowledge. 490-77 APPLICANT SIGNATURE 490-76 DATE ia �„ PP ` 490.78 490-79 APPLICANT NAME( tint): APPLICANT TITLE: VZ nLo c NIA UPCF UST-D(12/2007)3/4 A�pro� 7^� r �r� � L�`�ice` � 1 ��/ �� ,L9 �r