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FROM FAX NO. AML in. 14 2011 04:19PM P16 <br /> Jill IL wr — <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> MONITORING PLAN— P e 2 of 2 <br /> :n::. .�:x-•r .•.+•,.,,.fin, r.c... _ �.v....,>.r:•�:,•..<:.xr��. <br /> •r ' <br /> L-0 <br /> ' n... - ,.: .. ,.::4:'. •.v.•,w..,...e',:i _• "z4"1- <br /> rr.Y"r•,i'k_"^••1:: ...RU M1. 4^., <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. <br /> ''''a1x 3 __3 1"�qw �, ''Rw:'.4rb � o, .6/ 6; ::r.'#xr."•A• v .' ".+Y^••; AFROM <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. <br /> 22 <br /> :. o•„„r.y:,. r <.'.:yr. �... . . _ .lr•4.':.4i7'”. ..� ,-y, ;�5+'ir. .:7„+..� <br /> .x ,yey'^.:” ° , e,J '`4i'f+,•. .:'"�G1"„'°F.a3d•.'';�,: : 71f <:°;:ti::;ru-. '�e"' ".::w 3�•,y ;• <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 <br /> *tNP..nn,rJJwiith <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. <br /> r',.. •�. ai6., •�iUFk",a'i5,"?�%'vJ. 'o+n. ,tilt',' `. 3 a..a." �..°• tY6 -n, <br /> V�64}, .�(. �.^.�. •'� g"f Aa. �:Y,l"d'-T d�`f:: y'�Pv <br /> •lV i'd^N 1'e�^ 4 9TS .'7^. Ih• .A eM•."®W b4'^4P <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 <br /> "�'b..Sw' '•�' ij a 'r� 9..':.;:s+ } .'.Zq "a>' gat <br /> b.M''�".! d a^'1 t .1M�,'�a'Q'1 •'y� <br /> MI � :fig' �y.• .n.,V <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. <br /> •ra'�r5:{k' r^ � ��.•f.,: .+.,,, .iY.. < p .obi oto:. :sw' <br /> y;,, '�a�'.P•°A6':c6_,ti'�:p.• .,.•'a�.yt: °:t�,'Rz .,�<. nya �.�"�'.•'� S`g•�xss�` .{n <br /> CERTIFICATION:I that information ovided herein is true and accurate to the best of mt !agMtge <br /> APPLICANT SICrNATU . DATE; <br /> s-) 216 <br /> s2rrtnwrvn7aas r.Taut 2 ra6xliry owuQropeator 3 Aua6oe;a ea aep�peAd.G.e cAr aso 76 <br /> APPLICANT NAME(print): 490-1' APPLICANT T J`LE; � <br /> Ad <br /> t�c� ra v�Q� ®62gC c <br />