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10/07/2010 THU 8: 52 FAX 2094683433 SJC EHD 0004/006 NIF1lED PROGRAM CONSOLIDATED FOR ! UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTANNENT(U :MON DC) ffo RMG 490.54& 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 49o-54h ❑ 1.CONTINUOUS ELECTRONIC MONITORING [12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ❑4.NO DISPENSERS F199.OTHER(Specify): PANEL MANUFACTURER: l� At./ tl IZuz�{ +9r,ss MODEL _T ago ss. LEAK SENSOR MANUFACTURER: 490-17 MODEL M(S): 79 — -sSo — 3v 2 4%-'a lJ td DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a-YES ❑b.NO 490.60. FAILURE I DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490.61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑b.NO 49062 2.UDC CONSTRUCTION IS ❑1.SINGLE-WALLED ❑2-DOUBLE-WALLED 490b3 49&64. IF DOUBLE WALLED: UDC INTERSTITIAL SPACE IS MONITORED BY: ❑L LIQUTA_p 2.PRESSURE ❑3 VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 49o�4b MIL PMODICSYSTEM 11?:S1`ENG 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED- 23 CCR 2644.1 SECONDARY CONTAINMENT COMPONENTS ARB TESTED EVERY 3S MONTHS. 490-66 3.SPILL BUCKETS ARE TESTED ANNUALLY. 4907 •:..:•:...:..: :..-.. .. . .VIIL RECORDKEEPIIVG:;_ .,.-. :... . . . — . .:.. :. . The following monitoringlmaintenatnx records etre kept for this facility: Q"Alarm logs �9a6a. (�:Viswl Inspection Records 49husb ❑Tank integrity testing results 49as9c ❑SIR testing results{and supponiag docarncntatiom tccotds). 4906ad ❑ Tank gauging resulu(and supporting docutttrniation records). +sante ❑ATG Testing results(and supporting documentation records).49063r ❑ Corrosion Protection 60-day logs 49a6ta ❑Equipment maintenance and calibration records. 490-bah U.TRAE41NG ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-65& REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ❑ THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490 m ❑ OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-69, ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490.694 ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 49)469& ❑ STATE.WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-W ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-ft ❑ OTHER(Specify):h4w mwi This faedity:has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: Operation of the UST systems in a manncr consistent with the facility's best management practices The facility employee's role with regard to the monitoring equipmemt as specified in this UST Monitoring Plan ➢ The facility employee's tole with regard to spills and overfills as specified in the UST Response Plan D Names of contact person(s)for eracrgencies and monitoring alarms.49o•r0 x COMMMS(ADDMONAL nMFOR TIOrI Provide additional continents here or indicate how tetany pages with additional information on specific monitoring procedum are attached to this plan.4w7t XI.PERSONNEL RESPONSIBILITIES The UST Owncr/Operator is responsible for ensuring that:t)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release ate investigated,end 3)all monitoring records arc maintained properly. The following person(s)arc responsible for binning the monitoring and equipment maintenance: NAME /rt'J Li 49o7z T(TLE ''V(U vo'�i 490-70 NAME mot /s% f3rj /G y G/L 490-74 TITLE 490.75 The Designated Operator shall pafonn a monthly visual inspection of the facility,provide a report to the owner/operator,and irdorm the ownerloperator of any conditions that treed follow-up action. TOASIGNATUItIr XII.OW1MER101P`ERA CERTIFICATION:I CAWY dKK tltG id m Won ptuvidcd herein is true and accuratc to dic best oftny Istowlodge. APf[dGANT SDGNATLIItE yA P 49040 DATE: 490-79 APPLICANT NAME(print): APPLICANT TITLE: �d�llJlt �1rZJ IC G/ S�//til (�/ FAfLN 6�JL- t tP[N I ICT..D!12/2)171314 V