FROM FAX NO. AML in. 14 2011 04:19PM P16
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<br /> UNIFIED PROGRAM CONSOLIDATED FORM
<br /> UNDERGROUND STORAGE TANK
<br /> MONITORING PLAN— P e 2 of 2
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<br /> UDC MONITORING IS PERFORMFO USING THE FOLLOWING METHOD(S)
<br /> ® 1.CONTINUOUS ELECTRONIC MONITORING 112.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 4W. 54a
<br /> ❑ $•NO DISPENSERS ❑ 99.OTHER . } MAI&.
<br /> LEAK.MONITOR mANuFACTURw.BEAUDREUX • MODEL#:406 ate°
<br /> LEAK SENSOR MANUFACTt1RFR:BEAUDREUX 4W57• MODEL#(S):406 $
<br /> DETECTK}N OF A LEAK INTO TETE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a YES b.NO 40Q sO'
<br /> UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑ b"NO •tea
<br /> FATLURvoisCONNECT ioN OF UDC MONTTORINC SYSTE&M TmGERS AUTOMATIC PUMP SHUTDOWN. 19 a YES ❑ b.NO 49"1•
<br /> UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. N s.YES ❑ b_NO a9O'a•
<br /> UDC CONSTRUCTION IS: I.SINGLE WALL 2.DOUBLE WALT. 490-63,
<br /> IE D=LE WALL: i6A
<br /> UDC INTERSTITIAL SPACE 19 MONITORED By, ❑ a LIQUID ❑ h.PRESSURE ® G VACUUM
<br /> A ISAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. ® a.YES ❑ b.NO 4M61r.
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<br /> 1.ELD TESTING: THIS FACILITY HAS RON NOTIFIED BY THP;STATE WATEsR RMOURCESS CONTROL BOARD THAT 49"S.
<br /> LE"D N MUST BE PERFORMED. PERIODIC ELD IS PERFORArIED EVERY 36 MONTHS AS RE UTRED. za ccs r
<br /> 2.SECONDARY CONTAINMP•NT COMPONENTS ARE'rfiS'110 EVERY 36 MONTM. 4904&
<br /> 3.SPILL BUCXETS ARE TESTED ANNUALLY. 4*-67.
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<br /> The following mwnitormg/maintteranar
<br /> ce records o kept for this facility
<br /> 0 a.ALARM LOGS 11 b.VISUAL INSPHCTION RECORDS
<br /> ❑ R TANK INTEGRITY TESTING RESULTS
<br /> ❑ d.SIR TESTING RESULTS(and supporting documentation records) ❑ e.TANK GAUGING RESULTS(and supporting documentation records)
<br /> ❑ L ATG TESTING RESULTS(and supporting documorMion records) ❑ g°MRROSION PROTECTION OMAY TAXIS
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<br /> EQUIPMENT T►7�AiN'I'KNANCE.AND CALIBRATION RECORDS
<br /> UST monitoring resp(maibilmcs are famitlar with all of the Ukrwtng documents relevant to their job duties.
<br /> REFERENCE DOCUMENTS MAINTAINED AT FACILrry(Check aft rhar apply)
<br /> ® THIS UNDERGROUND STORAGE TANK MON P aiNG PLAN Wtegmred)
<br /> OPERATPN(-,MANUALS FOR Fd.EC'TRONIC MONTwpum EQUIPMENT(Regnar'efl) a
<br /> ❑ CALIFORNIA UNDERGROUND STORAGE.TANK.RP.GUi.ATIONS 490.69&
<br /> ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490"..
<br /> ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION; "HANDBOOK. b'OR 'PANIC O*111ERS - MANUAL AND 4991ft
<br /> STATISTICAL tNVENTORV RMONCit.tATION"
<br /> ❑ SWRCB PUBUCA77ON:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS'
<br /> ❑ OTHER(Spero): 90
<br /> This fmility has a"Desi US'l'Operator"who has passed the Catifomia UST SyVem Operator Exam administered by the International Code Council 499-70
<br /> (=)° 'rho -DWgnawd UST Operaam"will vain facility employees in the proper operation and mainNnanoo of the UST systems amually,and within 30
<br /> days of hire.This training will include,but is&art limited to,the foilonving:
<br /> Operation of the UST rya cies in a manner con,istcut with the facility's best management practice&
<br /> The facility employee's role with regard to the equipment as specified in this UST Monitoring Flan.
<br /> The thcility emphryee'&role with regard to spills and overfills as specified in the facility's UST Response Plan.
<br /> D Name(a)of contact peison(s)for emergencies and monitoring alarms.
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<br /> Provide additional comments here or indicate crow many pages wityh additiprrei h►fpimatioa ori specific monitoring procedures are attached to this plan" 49tU71.
<br /> Woe of overfill Protection=Diatubes with mechanical ftsat at 95%of tank ca
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<br /> The UST Owner/Opentor is responsible for ensuring that:1.)the daily/routine UST monitoring activities and maintenance of UST leek detection equipment eoveroil by
<br /> this plan occur&2, all conditiory that in4cdc a e2giblo mhwc are i and 3. all monitoring records are maintained
<br /> THE FOLLOWING PERSON(S)ARE RESPONSIBLE FOR PERFORMING THE MONMORINO AND EQUIPMENT MAINTENANCE:
<br /> NAME: Aninash Sharma 490-77 TITL.Ii:Manager 490-73.
<br /> NAME Ua Bida 490.74• TRLE:Oyffler 9911-75,
<br /> The Designated UST OpaaWr shail pciform a monthly visual inspection of the facility,provide a report to the ovow/operator,and inform the owner/operator of any
<br /> conditions. need fblkvw-up achion.
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<br /> CERTIFICATION:I that information ovided herein is true and accurate to the best of mt !agMtge
<br /> APPLICANT SICrNATU . DATE;
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<br /> APPLICANT NAME(print): 490-1' APPLICANT T J`LE; �
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