BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

IFIED PROGRAM CONSOLIDATEDF UNDERGROUND STORAGE TANK D E((-'�'E�Veno MONITORING PLAN-(Pae 1 of 2) TYPE OF ACTION ❑ I_NEW PLAN §q 2_CHANGE OF INFORMATION AU - 4901. PLAN TYPE ❑ I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. pt N 490-2. (Check one item only) 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): ��M`vly rE I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) l BUSINESS NAME(Same as Facility Name or DBA) 3. BUSINESS SITIE ADDRESS 103 CITY 104. U. 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 equipment manufacturers'instructions,or annually,whichever is more frequent.Such work must be performed by qualified personnel.[23 CCR§2632,2634,2639,26411 MONITORING EQUIPMENT IS SERVICED i_ANNUALLY ❑ 99.OTHER(Specify): 4990.36. III. MONITORING LOCATIONS ❑ 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN C4 2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED [23 CCR§2632,2634) 4904. IV. TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) (MatQkall L CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT VAULT(S) 4995. WITH AUDIBLE AND VISUAL ALARMS.123 CCR§2632,26341 SECONDARY CONTAINMENT IS: [W a_DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑ d.UNDER VACUUM 490-6 PANEL MANUFACTURER: _ t C an 490-7. MODEL#: I t]Ot] 'ate 490-9. LEAK SENSOR MANUFACTURER: 4919. MODEL#(S): L 490-10. ❑ 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S).123 CCR§26431 490-11. PANEL MANUFACTURER: 49112. MODEL#: 49113. IN-TANK PROBE MANUFACTURER: 490-14. MODEL#(S): 490-15. LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 490-16. ❑ d.MONTHLY ❑ e.OTHER(Specify): 490-17. PROGRAMMED TESTS: ❑ a_0.l h. ❑ b.0.2 h. ❑ c.OTHERS i 4901s. g.p.h. g.p. (Specify): ago-ts. ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION[23 ccR§2646.11 490-20. ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)[23 ccR§264s) TESTING PERIOD: [:] a_36 HOURS ❑ b.60 HOURS 494922'-21. ❑ 5.TANK INTEGRITY TESTING PER[23 ccit§2,643.1) 490-23. 490-24. TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25. 490-26. 99.OTHER(Specify): 49127. V. PIPE MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S) hat a k 111 ($ 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE&VISUAL ALARMS. 490-29. [23 CCR SECONDARY CONTAINMENT IS: IQ a.DRY El b-LIQUID FILLED El c.PRESSURIZED [Id.UNDER VACUUM 490"29' §2636) 490-30. MODEL#: S 1 O 0�1 490-31, PANEL MANUFACTURER: Z�C Q Q � �� LEAK SENSOR MANUFACTURER: �j (�C-0 I> 49132. MODEL#(S): U t+5 490-33. PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. Q a.YES ❑ b.NO 49134. FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. IN 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 DETECTED.[23 ccR§26361 MLLD MANUFACTURER(S): &L n 490-37. MODEL#(S):_ F k I V 490-38. ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS.[23 ccR§26361 490-39 ELLD MANUFACTURER(S): 99142. MODEL#(S): 49141. PROGRAMMED IN LINE LEAK TEST: ❑ a_MINIMUM MONTHLY 0.2 g.p.h. ❑ b.MINIMUM ANNUAL 0.1 g.p.h. 490-42. 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.OTHERi 49946. (Spec�fY) ago-92,-_ ❑ 5. VISUAL PIPE MONITORING. 49"& FREQUENCY: ❑ a.DAILY ❑ b.WEEKLY ❑ c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 490-+9. •Allowed far monitoring of unburied anergency-raw fud piping only pa HSC§25291.5(6x3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA.123 ccR§2636(ax3)) 490-50. ❑ 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM. 49151. 490.52. ❑ 99-OTHER(Specify) 49153. UPCF UST-D(12/2007)-1/4 www.unidocaorg