BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

qc Y11ViFi)�t}PROC 1RAM CONSOLIDATED FORM AUG 1 �J UMEQGR.OUM STORAGE TANK MOMWRMPLAN—Obale 2 o2 ENVIKUNNI.ENT HEALTH UDC MONITORING IS PERFORMED USING THE F0L10 N NG MI:THOD(S) L(3mm NNUOIIS ELECTRONIC MONTfORwG ❑ Z FLOAT AND CHITIN ASSE2✓rBLY ❑3.ELECTRONIC STAND—ALAN Q 4.NO DISPENSERS 0 99.OTHER(S ) 491L546. LEAK MONITORMANUFACTURFR r N C e n 490-"- MODEL f: T's I om 21.2 490 56 LEAK SENSOR MANUFACTURER N co:Q 999-57. MODEL.fi(S): TSP UL!5. 490rsa. DE:PJr(.'ITON OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS_ I e.YES D b.NO 490.5. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ® a YES ❑b_No 494-a FAILUl0MCONNECT10NOF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN a.YES ❑h NO 49o.a1. UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑s.YES b.NO 4'0-2 UDC CONSTRUCrION IS: ,%1.SINGLE WALL ❑1 DOUBLE WALL 49o4a. WDOUBLEwAT L: 49049a UDC INTERSTITIAL SPACE IS MONITORED BY- ❑ a LIQUID © b.PRESSURE Il G VACMN ALEAK WrfEaN THE SECOMARY CONTAIIIDE[NT OF THE UDC TRIGGERS AUD®LE AND VISUAL ALARM a.yn ❑h.NO 4906 I.ELD TT3mw.,:iM mcumY HAS BEEN lanI EED BY TEE STATE WATER RESOURCES CONTROL BOARD THAT 99D69- CLI MAST BE PFRFOR?0D.PERIODIC ELD IS PERFORMED EVERY 36 b!(MHS AS REQUIRIML plemp6m-11 ®2.SECONDARY CONTAMvIENT COMPONENTS ARE TESTED EVERY 36 MONTES- 490.43. ® 3.SPILLBUCSI3IS ARETESTEDANNUALLY 49647. The following marnt0t>eg/lrnam0e0aDCe reCNda 0-r a iogli forthls fiaaulny 4946E ®as ALARM LOGS ❑b_VISUAL INSPECTION RECORDS ❑ QTANK INTT.'GRffYTESTING RESULTS d.SIR TESTING RESULTS(and supping documentation records) ❑e.TANKGAUGING RESULTS(and supporting documentation records) ❑ E ATO TESTING RESULTS(sad supporting doauuealah-records) Q g.CORROSION PROTECTION 60-DAY LOGS IL [)FII BIiTMAlN1ENANCZANDCALIBRATMA]X)DRDS Paasvtlaelwi&USTmonhorigg idesarefantRisrwithallofthef9lowmgdo=Deotsrelevanttotheirjobduties: 49049& RFdrEREN(S DOCUMENTS MAMTAINED AT FACUMT(C&rekall*at apply) ®THIS UNIDERGROUM STORAGE TANK MONITORING PLAN(Begwred) 490.fhb. OPERATING MANUALS POR ELECTRONIC MONrfORING EQUIPMENT(Required) 4'wasa CALRORNIAUNDER(3ROUNI)STORAGE TANK RP.GULATIONS 490-&1 fiALNORN IA UNDERGROUND STORAGE TANK LAW 490-691- El 90.69&❑STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: -HANDBOOK FOR TANTO OWNERS - MANUAL AND 490-69t STATISTICAL]INVENTORY RECONCILIATION" 0 SWRCB PUBLICATIOM-UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS- 490-ft Q oviER(Spoeiry)r EmbInslym 490-C& ®This facility has a"Designated UST Operator"who has passed the Califumia UST Systcm Operator Exam adminisfered by the International Code Council 494ro- (ICC). The -Designated UST Operator"wsZl train facility employms in the proper operation and maktemmee ofthe UST systems ananally,and withal 30 days ofhim This training will include,but is ant limited to,the following ➢ Operation cfthe UST systems in a mamrer consistent with the facility's best management ptaetices. ➢ The facility employees vole with regard to the raanitormg equipment as specified in this UST Monitornrg Plan. ➢ The fwift employee's sole with regard to spills and overfills as specified in the fiealdy's UST Response Plan. A Nau w(s)ofeWtaa pCMW1(s)for amagercks and mumtoring alarms. PandbadditimelcownUaldlmrearidd]Iaatohow mowpageswith adddiwalrafiaaabononspwi5amoni4orint:vrooedararaaoatisoLedisftisplan 4967-. P��xAt�4-amu�sg. 1�tT_..g�.�T�hie TQ. snY� tr 21A TW4 Thou"Oaeerlop=is TerpowIlIftfwmsaft mat i_)the danlyhoutim UST monitoring eaivi8es sad mainternmoo of UST leak eemaim oovered thus plan oecm,2.all con&ions fliatindkeftapossiNe relama are .and 3. aII nuingoduAreconle are maintained TBE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITORING AND EQUIPMENT MAINTENANCE: NAME. 'T g SU ^—rj0!11==1f 496.72 Tin R- Q 49673. NAME: t 490-7k TITLE:g_ 49673. The Designated UST Operator shall perform a mor dlly visaal inspwt m of the faclity;provide a report to the ownedoperaro,and inform the owner/openvor of any conditions that need follow actim. -SA CERTIFICATION:i info n b and atxarateto the best of lay knowledge- APPLICANT SIGNATURE DATE- /f (/fes 49677. REPRBSENT1WR I.T®1c Q2Fatifi (honer 3.Aurhoraed 'w*fO— 490-76. ✓ _/ • v APPLICANT NAME(print): 4967& APPLICANT TITLE: 49679. VPCR UST-D(22/2007)-3/4 wvew.onidoes.org