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IED PROGRAM CONSOLIDATED FOW <br /> 1� UNDERGROUND STORAGE TANK <br /> MONITORING PLAN- (Pae 1 of 2) <br /> TYPE OF ACTION tfl.NEW PLAN ❑ 2.CHANGE OF INFORMATION 490-1. <br /> PLAN TYPE 1.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490-2• <br /> (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> BUSINESS NAME Same u�facility Name or DBA) 3 <br /> BUSINESS SITE A!nLESS 103. CI loa. <br /> H. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE <br /> Testing,preventive maintenance,and calibration of monitoring equipment(e.g.,sensors,probes,line leak detectors,etc.)must be performed at the frequency specified <br /> by the equipment manufacturers'instructions,or annually,whichever is ore frequent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,2638,26411 <br /> MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490-30.. <br /> Q ( P fy)� 490-3b. <br /> III. MONITO G LOCATIONS <br /> ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634] 4904. <br /> IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Chethat ck", <br /> 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 490-5. <br /> WITH AUDIBLE AND VISUAL ALARMS.[23 CCR§2632,26341 <br /> SECONDARY CONTAINMENT IS: a.D Y fib.LIQUID FILLED ❑ c.PRESSURIZED [Id.UNDER VACUUM 490-6. <br /> PANEL MANUFACTURER: 490-7. MODEL#: s- d 490-8. <br /> LEAK SENSOR MANUFACTURER: 490-9. MODEL#(S): 3 490-10. <br /> ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).[23 CCR§26431 490-11. <br /> PANEL MANUFACTURER: 490-12- MODEL#: 490-13. <br /> IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 49°-15' <br /> LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. <br /> ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. <br /> PROGRAMMED TESTS: ❑ a.0.1 h. ❑ b.0.2 h. ❑ c.OTHERS ci 490.18' <br /> g•P• g•P• (Specify): a90-19. <br /> ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 CCR§2646.] 490-20. <br /> ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 CCR§26451 TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490-21. <br /> _ 490-22. <br /> ❑ 5.TANK INTEGRITY TESTING PER[23 CCR§2643.1] 490-23. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY [:1 ( <br /> c.OTHER S eci ago-z0.. <br /> P fY)� a90-2s. <br /> El99.OTHER(Specify): 490-26. <br /> 490-27. <br /> V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all <br /> that apply) <br /> L CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-28. <br /> §z6 ej SECONDARY CONTAINMENT IS: Ela.D Y ��LIQUID FILLED ❑ c.PRESSURIZED l5� d.UNDER VACUUM 490-29. <br /> PANEL MANUFACTURER: Q 490-30. MODEL#: O 490-31. <br /> LEAK SENSOR MANUFACTURER: 490-32. MODEL#(S): O -LJ -�?> !�a 14 490-33. <br /> PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. _tea.YE ❑ b.NO 490-34. <br /> FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ,[ala.YES ❑ b.NO 490-35. <br /> ❑ 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF 490-36. <br /> PRODUCT FLOW WHEN A LEAK IS DETECTED.[23 CCR§2636] <br /> MLLD MANUFACTURER(S): 490-37. MODEL#(S): 490-38. <br /> L2r3.ELECTRONIC LINE LEAK DETECTOR(ELLD)�/HIAnT R UTINELY P RFORMS 3.0 g.p.h.LEAK TESTS.[23 CCR§2636]Q q 490-39. <br /> ELLD MANUFACTURER(S): \/sem Q 7"C' a 4 °0 MODEL#(S): Q p t f 490-41. <br /> PROGRAMMED IN LINE LEAK TEST: ❑ a.MINIMUM MONTHLY 0.2 g.p.h. [Ib.MINIMUM ANNUAL 0.1 g.p.h. 49042. <br /> ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. &a.YES ❑ b.NO 490-43, <br /> ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. „0"a.YES ❑ b.NO 49044. <br /> ❑ 4.PIPE INTEGRITY TESTING. 490-45. <br /> TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 4�7 6. <br /> ❑ 5.VISUAL PIPE MONITORING. 490-48. <br /> FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490-49. <br /> •Allowed for monitoring of unburied emergency enemtor fuel piping only HSC§25281.5(b)(3) <br /> ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.[23 CCR§2636(8x3)] 490-50. <br /> ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 490-51. <br /> ago-52- <br /> ❑ 99.OTHER(Specify) 490-53. <br /> UPCF UST-D(12/2007)-1/4 www.unidocLorg <br />