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Jan 07 40 10:59a Lower Sao Chevron 2099540582 p.4 0 10 1 UNEFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TAINK MONITORING PLAN —(Page, 2 of 2) VI. UNDER DISPENSER CONTAINMENT (UDC) MONIT® G t0wckall UDC MONITORING IS PEICFURivI$D USING THE FOLLOWING METHOD(S) tlraf apply) 1. CONTINUOUS ELECTRONIC MONITORING ❑ 2. FLOAT AND CHAIN ASSEMBLY [:1 3. EI.F,CTRONIC TAND-ALONE 490-54ei Q. 4. NO DISPENSERS ❑ 99. OTHER (Specify) a4o-soh. E LEAK MONITOR MANUFACTURER _ Y rt O-(' 45U-5!.MODELII: " L_ u a m:`¢ LEAK SENSOR MANUFACTURER: yr ry.4 ptL& C.JL T- 490-57.MODEL #(S): 490•!8. DETECTION OF A LEAK INTO TETE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a. YES ❑ b NO 490-19. UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a YES ❑ b. NO 490-e0. FAILURESISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a. YES ❑ b. NO 41ML UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER.YES F1 b. NO a. 490-62. UDC CONSTRUCTION IS: [` 1. SINGLE WALL ❑ 2. DOUBLE WALL _ _.._......... iso �'s IF DOUBLE WALL: UDC iNTERSTMAL SPACE IS MONITORED BY: ❑ a. LIQUID ❑ b. PRESSURE c. VACUUM 490.64x, A LEAK WITHIN THE SECONDARY CONTAINMENT OF TIIE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS. a. YES ❑ b. NO 490.64b. VTI. PERIODIC SYSTEM TESTING ❑ 1. ELD TES'T'ING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT L'NiLANCED L96L _DFTECTIQNLE__L_DJ MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED. Iz3 ccxi2644.t1 49V-03. ? SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490.66 ® 3. SPILL BUCKETS ARE TESTED ANNUALLY, 490-67 VIII. RECORD KEEPING The following monitoring/maintenance records are kept for this facility. 9 a ALARM LOGS ❑ b. VISUAL INSPECTIOV RECORDS ❑ c. TANK TN£EGRITY TESTING RESULTS 490-66 ❑ d. SIR TESTING RESULTS (and supporting documentation records) ❑ e. TANK GAUGING RESULTS (and supporting c ocumentation records) ❑ f. ATG TESTING RESULTS (and supporting documentation records) ❑ g. CORROSION PROTECTION 60 -DAY LOGS h. EQUIPMENT MAINTENANCE AND CALIBRATION RECORDS IX. TRAINING ® Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their jab duties: REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) 490.696 ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 490.696 ❑ CALLFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490a0e ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490.69d STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: `HANDBOOK FOR TANK OWNS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 490-698 490-69f , ❑ SWRCB PUBLICATION: "UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS" 490.699. ❑ OTIIER(Speciry); This facility has aDesignated UST Operator" who has passed lite California UST System Operator Exam administered by the Int—ei national Code Council (ICC)• The "Designated UST Operator" will train facility employees in the a4o.x9b. 440 690. 490'70• proper operation and maintenance ofthe UST systems annually, and within 30 days of hire. This training will include, but is not limited to, the following: A Operation of the UST systems in a manner consistent with the facia ity's best management practices. `the ➢ facility employee's role with regard to the monitoring equipment as specirmd in this UST Monitoring Pian. 8 The facility employee's role with regard to spills and overfills as specified in the facility's UST Response Plan. % Name(!) oreontaet person(s) for emergencies and monitoring alarms. X. COMMENTS/ADDIT[ONA.L INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures ane attach to this pian. 490.71. XI. PERSONNEL RESPONSIBILITIES The UST Owner/Operator is rewnisible for ensuring that[.) the daily/routine UST monitoring deities and maintenance 0t' C ST I detection equipment covered Uy thisplan occurs:2_) all conditions that indicate a possible release are investigated;_and 3.) all mo 11 records are maintained pec .Y..._ THE FOLLOWING PERSONS) ARE RESPONSII3LE FOR PERpORIt.11NG THE MONITORING AND EQUIPMENT MAINTENANCE - .. jE T 1 4`1, NAME:Ti7'LJ a j 490-72. � NAME: .7 t , 490-7a. t�, .n, ? "Ni— Tl TLE: ��,^. s n 0-'e. 2 �y � 490.75. The Designated UST Operator shall perforin a monthly visual inspection of the facility, provide a report to the ovrteer/operator, and inf rm the owrrerloperator or any conditions that need follow-up action. XII. OWNER/OPERATOR SIGNATURE CLRTiFICATION: I certify that the informal n provided herein is true and accurate to the best of tray knowledge A PPI .I CANT SIGNATURE DATE: er•.PrrsP..NTNQ ❑ I. TarkOwaor pM6r I7 2 �acilil w3Nb error C i. AtdhoA..4 R C. .1.ti, of oulm 490.7x. 4;0-77. APPLICANT NAME (print): 490-78 APPLICANT TITLE; 49U.'79. nvrPrreT_r►r,�nsr,rr. �,. " , www.unidocsorg