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NIFIED PROGRAM CONSOLIDATED IFORMIW UNDERGROUND STORAGE TANK MONITORING PLAN-(Page I or2) TYPE OF ACTION ❑ i.NEW PLAN 2.CHANGE OF INFORMATION I 490-1 PLAN TYPE �,I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 490.2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM( I. FACILITY INFORMATION FACILITY ID 9(Agency UJe Ouly) _ BUSINESS NAME(Same as FACILITY NAME) NC 710AJ OL ViYI Si�G 3 BUSINESS SITE ADDRESS 171 zoqsr OSErNr lE` �/� 103 CITE - 104 Ii.EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE Testing,preventive maintenance,and Calibration of monitoring equipment(e.g,sensors,probes,line leak detectors,et�,)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 qU Iif(ed personnel. 23 CCR§26327 2634,2633,2641) MONITORING EQUIPMENT IS SERVICED I.ANNUALLY ❑ 99.OTHER(Specify) 490-3a 490.36 [II.MONITORING LOCATIONS I.NFW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN.T72,SITE PLOT PLAN/MAP PREVIQUSLY SUBMITTED (23 CCR§2632, 634)490-4 17� FV. 34)490- FV.TANK MONITORING IS PERFORMED USING THE FOLLOWING MFTHOD(S) I,CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITLtL)SPACE(S)OR SECOND;IRV CON AINMEN 4490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634) SECONDARY CONTAINMENT IS: it.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED ❑d.UNDER VACUUM 490-e, PANEL MANUFACTURER: a9v-7, i --—— -49ae - — —— — . LEAK SENSOR MANUFACTURER: _ _ _ ____„� ... —�•.� 490,9 MODEL_I-- ..• ---__.____ __,_____ S 49U 10 2,AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S). 23 CCR§2643) 490-11 PANEL MANUFACTURER: 49412. 490-13 --w— --— -- - �EEb�/ OO MODEL#:_ S—� 0 090--------14-- - ----- —_(N-TANK PROBE MANUFACTURER: MODEL S : �ic (1 - 4ov-15 --- LEAK TEST FREQUENCY: ❑ a.CONTINUOUS - ❑ b.DAILY/NIGHTLY' ❑ c.W KLY avo=ie -- -----------_-... ❑ d.MONTHLY _ 0 e.OTHER(SpecilfY)-- 490.17� - PROGRAMMED TESTS: ❑ a.0.1 g.p.h- ❑ b_0.2 g.p.h. ❑ c.OTHER(Specs )' 490-13 490-19 ❑ 3 MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1)- d90 0 ❑ 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS ❑ b.60 OURS 490-�1 490-zz ).TANK INTEGRITV"TESTING(23 CCR§2643.1): 49423 TEST FREQUENCY ❑ a.ANNUALLY ❑ b.BIENNIALLY ❑ c.OTHER(Specify): 490-2d I 390-23 ❑99.OTHER (Specify): 490-ao 490-27 V.PIPE MONITORING IS PERFORMED USING THE FOLLOWING METRO (S)(Check all tE at apply) ].CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONbARY CONTAINMENT WITH AUDIBLE ND 490-26M VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: a.DRY ❑b.LIQUID FILLED ❑C.PRESSURIZED ❑d.UNDER VACUUM 4'94--'9 ---- —. - - 4943: j- -- ---�� ---- PANEL MANUFACTURER: 190-31 --- -- `II��E, — MODFLL QB MODEL 1/ _ LEAK SENSOR MANUFACTURER: dooaa PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP 0 e.,TURBINE)SHUTDOWN. �13,YES ❑b. NO 490-34 FAILURE/DISCON TNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN J4 a YES ❑b. 0 AW35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)TiiAT ROUTINELY PERFORMS 3.0 g-p.h.LEAK TESTS AND RESTRIC FS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECITF,D(23 CCR§2636) — �tjL ,90.36 MLLD MANUFACTURER(S): EP �-r j 3 � MODEL N(S): L a� ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 -ph_LEAK TESTS (23 CCR§2636) a90J9 ELLD MANUFACTURER(S) 49°i° MODEL#S): 490-41 PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.149042 g.p.h. ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b. 49”) ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a,YFS ❑b.1,0 490,44 ❑ 4.PIPE INTEGRITY TESTING 490-43 TEST FRE UENCY El a.ANNUALLY b.EVERY 3 YEARS Ll c.OTHER S eci 49046490,47 Lj 5.VISUAL PIPE MONITORING. 490-4S FREQUENCY ❑ a.DAILY ❑ b.WEEKLY ❑C.MIN.MONTHLY&EACH TIME SYSTEM OPERATE][)' 490.49 'A(lo%edfnr,„o i*. rinE[Pfwbunclemer en •_neraror Nat In o01 rHSC 25261.5(bx3) ❑ 6.SUCTION PIPING MEETS EXFMPTION CRITERIA 123 CCR§2636(x)(3)1. 490,50 97-NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TAJqK SYSTEM 1 ❑ 99.OTHER(Specify) 490-51 4.-51 UPCF UST-D(12/2007)1/4