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J N I F IED -1 710C AM CONSOLIDATED F UNDERGROUND STORAGE TANK MONITORING PLAN- Pae I of 2) - --- - - _ 490.1 TYPE OF ACTION Rr1.NEW PLAN ❑ 2.CHANGE OF INFORMATION PLAN TYPE ,�I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. ago 2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S)- I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - - 1 3. BUSINESS NAME(Same as FACILITY NAME) 103. 104. BUSINESS SITE ADDRESS 7�3IV ��WAA z: cITY 5�- c k �✓ H.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,and that such work must be performed by qualified personnel. 23 CCR§2632,2634,2639,2641) 490.30. MONITORING EQUIPMENT IS SERVICED 1.ANNUALLY ❑ 99.OTHER(Specify): 490-3b M.MONITORING LOCATIONS 1.NEW SITE PLOT PLANIMAP SUBMITTED WITH THIS PLAN. 2.SITE PLOT PLANIMAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)49o.4 IV.TANK MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): 1.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: ❑ a.DRY Q b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 4906 - +`� --- ,�----- e9oa. MODEL#: L .S 3 SZ� a� PANEL MANUFACTURER: �v E�J� Ab c^ 419. MODEL S .__ x,` 490,10 LEAK SENSOR MANUFACTURER: 2�,�/ 3' )- �� $S9 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANKLS5 (23 CCR§2643) 490-11 490-12. MODEL#: 490-13 PANEL MANUFACTURER: _ 0.90-14. MODEL#(S): 490-15 IN-TANK PROBE MANUFACTURER: LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILYINIGHTLY ❑ c.WEEKLY 490.16 ❑ d.MONTHLY ----❑ c.OTHER(�R_ ago 17 ------------- --------------------------------------- --___-_--_ PROGRAMMED TESTS: ❑ a.0.1 g.p_h. ❑ b.0.2 g_p.h. ❑ c.OTHER(Specify): 490.19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-20 490-211 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 HOURS 490,22 490-23 ❑ 5.TANK INTEGRITY TESTING(23 CCR§2645.1): 490-24 TEST FREQUENCY: ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-25 490-26 ❑99.OTHER (Specify): 4W27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METROD(S)(Check all that apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) 29 SECONDARY CONTAINMENT IS:Wa.DRY [lb-LIQUID FILLED .❑c.PRESSURIZED ❑d_UNDER VACUUM _ 490 31 PANEL MANUFACTURER: /Qti'a r 490-30 MODEL#: T L 3 SZ 490.31 x9°32 MODEL#S �3 9S� '�70t� 490.33 LEAK SENSOR MANUFACTURER: �.�� ( )� � PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e-,TURBINE)SHUTDOWN. ff a.YES ❑b.NO 490.34 FAILUREIDISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. Ba.YES ❑b.NO ago 3s 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g p h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED CCR 490.36 MLLD MANUFACTURER(S): 490.37 MODEL#(S): `/8 T '1£Sc CSO 490.38 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLDMANUFACTURERS) -1+/ 9._C, 4900.0 MODEL#(S): 49"1 490.42 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 02 g-P- g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 h. 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 4go-45 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 4904649047 ❑ 5.VISUAL PIPE MONITORING. 490-49 FREQUENCY ❑ a.DAILY ❑ b_WEEKLY ❑c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED' 490.49 •AllouYd formmtm nR 0f unburied emageozy gennumfild PiPinfouly Pet HSC§25281.5(b)(3 ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)1. 490.50 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 490-51 490.52 ❑ 99.OTHER(Specify) 490-53 1tP('F 1tCT_1)(1�_f2007\1/4