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May 1109 03.48p MVP Petroleum Engineering 916-984-1117 p.6 I UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN—(Page 2 of 2) VI. UNDER DISPENSER CONTA-IN TENT(UDQ MONITORI UDC MONITORING IS PERFORNMD USING THE FOLLOWING UrTrHOD(S) p Fi•I.CONTINUOUS FLECTRONK'MoxnWjNG 2 FLOAT AND CFDUN ASSEIMBL ❑ 3_ELECTRONIC STAND-ALONE X90' ❑4.NO DISPENSERS _ -��99.OTHER } aeodts LbAK MONITOR MANUFACTURER- C��GD�R—�T 490.55. MODEL 0: LEAK SENSOR MANUFACTURER t k 490.57 MODEL A Q -3-2 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. s.YES ❑ b.NO UBC LEAD ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN_ 2;u.YES ❑ b.NO X060 FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TR)GC;ERS AUTOMATIC PUMP SHUTDOWN. �ff a.YES ❑ b.NO r9o�r. UDC MONFIT)RING STOPS THE ILOW OF PRODUCT ATTFEE DISPE NSW a YES ❑ h 110 + UDC CONSTRUCTION IS: �jc 1 SINGLE WALL ❑ 2.DOUBLE WA-LL jLUQUBL•E WAIL. UDC INTERSTITIAL SPACE IS MONITORED Bl': ❑ a LIQUID ❑ b.PRESSURE ❑ c_VACUUM A LEAK WITHIN TNF SECONDARY CONfAINME NTOF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ❑ a.YES ❑ b.NO 450'6' VIE. PERIODIC SYSTEM TESTING I.FLO TESTING:TEA'S FACILITY HAS BEEN NOTIFIED PY TILE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65- L "ETON MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTH AS REOUIRED.p2ccPtzw.il ® 2.SECONDARY CONTAINMENTCOMPONENTS ARE TESTED EVERY 36 MONTI3S. 490`66. 3.SPILL BOCKIi 1'S ARE TESTED ANNUA LI.Y 49047 VIII. RECORD KEI;PI NG The following monik r*rnaintene=recotr)s arc kept for this facility 49661. ® e.ALARM LOGS ❑ b.VISUAL 1NSPEMON RECORDS ❑ c TANK INTEGRITY TESTING RESULTS ❑ d SIR TESTING RESULTS(and suppomng docwnentation rccords) ❑ e.TANK GAUGING RESULTS(end aWporting docuummUtion records) ❑ f.ATG TESTING RESULTS(tmd supporti%documanstion records) ❑ g.CORROSION PROTECTION 60-DAY LOGS h.EQUWMENT MAINTENANCE AND CALIBRATION RECORDS DC TRAINING - — Personrid with UST monitoring tesponsibilities are rarmlier with al]of the following docurnents rdeva t to their-job duties: 490ava REFERENCE DOCUMENTS MAINTALMED AT FACILITY(Check ail dray apply) ®THIS UNDERGROUND STORAGE TANK MONTIOR(NG PLAN(Required) 49"M- 0 OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (3Zegaired) ElCALIFORNIA UNDERGROUND STORAGE TANK REGULAITONS 490-69d G CALIFORNIA UNDEAGROUND STORAGE TANK LACY 390-4&. ❑STATE WATER RESOURCES CONTROL BOAXD (SWRCB) PUBLICATION: 'HANDBOOK FOR TANK OWNERS - MANUAL AND 490-6 STATISTICAL INVENTORY RECONCILIAM7,r ❑SWRCB PUBLICATION:-UNDERSTANDING AUTOMATIC TANKGAUGING SYSTEMS- 44&ft OTHER(Specify +904 t.); soap This facility has a"Dosigrated USTOptrmor^who has passed the California UST.Systern Operator Exm administered by the International Code Courncll 490-70- (ICC). The "Designated LIST Operator'will train farAity employyces in the proper operation and rmairttrnarse of the UST syitzms arorually,and within 30 days of hire.This training will include,but is not limited to,the following Operation ofthe UST bystwms in a manner cons;sient with the Dzlity's best tnanagerrs v practices. • The beility employee's role wi th regard to the monitoring equipmem as specified in this UST Monis' i Plan. • The&c&ty employee's role with regard to spills and overfills as specified in the tbvlily's UST Response Plan. I+ Name(s)o(contactpervon(s)tareme8enaesend mmibxingalanns. X. COMMENTS/ADDITIONAL INFORMATION Provide aMidmal comments here or indl=lc how nervy with additional infuxation on/�spcc'/c woeitoring procedures we attaehed to lks plan. 77- Ov ILL GT7C� r _f �p M. PERSONNEL RESPONSIBILITIES The UST OwneriOperatar is rospoxble for ensuring that 3.)the dadylrmaine UST monitories activities and mainwnarc*of UST Ieak detection equipma t coecred hx thts.�Itat oocurs;.2)alt Condit -_that indicate—ible rele�e are irt�cx'q ed�and 3.)p rnonitor- recordsare maiotairsd . rly,_______.____—7-7-1— THE THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONITIOPING AND EQUIPMENT MA1NTE LANCE: NAME: 190-T1 TETLE, a9a•73. NAME: 490.74. TITLE The Designated UST Operator shall perform at ttronthly visual inspection of the facility,provide a report to the owner/opern6a_and irAorm the ownerioprnw;of arty conditions that need follow-up action. XII. OWNER/OPERATOR SIGNATURE i CERTIFICA-ITON;I cer6 •that the informatioii ps ovided herein is true and accurate to the best ofmy kikowiedge APPUCANTSI(WATURE n. j DATE: 490 ItL'r aSa.'rIltiCc r.Tank Owiar, 2 FxiliLj i A,*witsd _Imm ort)— at 7M APPLICANT NANiE(print): — / r LI /� J�-m APPLICANTTITLE: n�t�/ � 490-79. F LIST-D(t ZI2l)97)-314 www.unidorsmrg 6 D